- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $57,543.99 / $107,151.93
| Facility | | $21,877.62 | $57,543.99 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $91,201.08 / $114,815.36
| Facility | | $61,659.50 | $91,201.08 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $75,857.76 / $100,000.00
| Facility | | $48,977.88 | $75,857.76 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $69,183.10 / $173,780.08
| Facility | | $39,810.72 | $69,183.10 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $25,118.86
| Facility | | $23,988.33 | $23,988.33 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $60,255.96 / $100,000.00
| Facility | | $10,000.00 | $60,255.96 | $100,000.00 |