- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,262.00 / $60,564.30 / $126,731.00
| Facility | | $5,262.00 | $60,564.30 | $126,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,247.96 / $98,706.50 / $133,603.94
| Facility | | $49,247.96 | $98,706.50 | $133,603.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,347.44 / $80,047.06 / $111,702.14
| Facility | | $42,347.44 | $80,047.06 | $111,702.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $68,350.25 / $124,682.74
| Facility | | $2,000.00 | $68,350.25 | $124,682.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $83,726.08 / $123,476.21
| Facility | | $2,000.00 | $83,726.08 | $123,476.21 |