- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $43,651.58 / $81,283.05
| Facility | | $16,595.87 | $43,651.58 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $69,183.10 / $85,113.80
| Facility | | $45,708.82 | $69,183.10 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $58,884.37 / $75,857.76
| Facility | | $37,153.52 | $58,884.37 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $52,480.75 / $128,824.96
| Facility | | $30,199.52 | $52,480.75 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $43,651.58 / $72,443.60
| Facility | | $10,000.00 | $43,651.58 | $72,443.60 |