- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $83,176.38 / $87,096.36
| Facility | | $70,794.58 | $83,176.38 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $89,125.09 / $128,824.96
| Facility | | $51,286.14 | $89,125.09 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $70,794.58 / $81,283.05
| Facility | | $54,954.09 | $70,794.58 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $70,794.58 / $89,125.09
| Facility | | $61,659.50 | $70,794.58 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $83,176.38 / $134,896.29
| Facility | | $51,286.14 | $83,176.38 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $50,118.72 / $70,794.58
| Facility | | $588.84 | $50,118.72 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $97,723.72 / $100,000.00
| Facility | | $77,624.71 | $97,723.72 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $89,125.09 / $120,226.44
| Facility | | $53,703.18 | $89,125.09 | $120,226.44 |