- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $87,096.36 / $158,489.32
| Facility | | $28,840.32 | $87,096.36 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $104,712.85 / $204,173.79
| Facility | | $8,912.51 | $104,712.85 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $107,151.93 / $158,489.32
| Facility | | $69,183.10 | $107,151.93 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $85,113.80 / $251,188.64
| Facility | | $16,218.10 | $85,113.80 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $72,443.60 / $138,038.43
| Facility | | $10,000.00 | $72,443.60 | $138,038.43 |