- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $64,565.42 / $120,226.44
| Facility | | $24,547.09 | $64,565.42 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $100,000.00 / $125,892.54
| Facility | | $67,608.30 | $100,000.00 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $85,113.80 / $109,647.82
| Facility | | $54,954.09 | $85,113.80 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $75,857.76 / $190,546.07
| Facility | | $42,657.95 | $75,857.76 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $64,565.42 / $107,151.93
| Facility | | $10,000.00 | $64,565.42 | $107,151.93 |