- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $52,480.75 / $100,000.00
| Facility | | $19,952.62 | $52,480.75 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $83,176.38 / $104,712.85
| Facility | | $56,234.13 | $83,176.38 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $69,183.10 / $91,201.08
| Facility | | $44,668.36 | $69,183.10 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $63,095.73 / $158,489.32
| Facility | | $32,359.37 | $63,095.73 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $20,892.96 / $23,988.33
| Facility | | $20,892.96 | $20,892.96 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $47,863.01 / $89,125.09
| Facility | | $10,000.00 | $47,863.01 | $89,125.09 |