- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $44,668.36 / $100,000.00
| Facility | | $30,902.95 | $44,668.36 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $23,988.33
| Facility | | $23,988.33 | $23,988.33 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $38,904.51 / $57,543.99
| Facility | | $15,488.17 | $38,904.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $44,668.36 / $75,857.76
| Facility | | $22,908.68 | $44,668.36 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $66,069.34 / $104,712.85
| Facility | | $24,547.09 | $66,069.34 | $104,712.85 |