- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $100,000.00
| Facility | | $29,512.09 | $52,480.75 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $56,234.13 / $95,499.26
| Facility | | $10,232.93 | $56,234.13 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $52,480.75 / $81,283.05
| Facility | | $100.00 | $52,480.75 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $45,708.82 / $81,283.05
| Facility | | $30,199.52 | $45,708.82 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $81,283.05 / $81,283.05
| Facility | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $48,977.88 / $91,201.08
| Facility | | $31,622.78 | $48,977.88 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $44,668.36 / $91,201.08
| Facility | | $5,754.40 | $44,668.36 | $91,201.08 |