- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $67,608.30 / $123,026.88
| Facility | | $25,118.86 | $67,608.30 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $104,712.85 / $131,825.67
| Facility | | $70,794.58 | $104,712.85 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $89,125.09 / $114,815.36
| Facility | | $56,234.13 | $89,125.09 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $79,432.82 / $199,526.23
| Facility | | $43,651.58 | $79,432.82 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $67,608.30 / $109,647.82
| Facility | | $10,000.00 | $67,608.30 | $109,647.82 |