- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $72,443.60 / $134,896.29
| Facility | | $27,542.29 | $72,443.60 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $114,815.36 / $144,543.98
| Facility | | $77,624.71 | $114,815.36 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $97,723.72 / $125,892.54
| Facility | | $61,659.50 | $97,723.72 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $87,096.36 / $218,776.16
| Facility | | $47,863.01 | $87,096.36 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $74,131.02 / $120,226.44
| Facility | | $10,000.00 | $74,131.02 | $120,226.44 |