- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $44,668.36 / $81,283.05
| Facility | | $17,782.79 | $44,668.36 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $69,183.10 / $85,113.80
| Facility | | $46,773.51 | $69,183.10 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $57,543.99 / $75,857.76
| Facility | | $37,153.52 | $57,543.99 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $53,703.18 / $131,825.67
| Facility | | $30,199.52 | $53,703.18 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,952.62 / $20,892.96
| Facility | | $19,498.45 | $19,952.62 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $44,668.36 / $72,443.60
| Facility | | $10,000.00 | $44,668.36 | $72,443.60 |