- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $40,738.03 / $66,069.34
| Facility | | $28,840.32 | $40,738.03 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $28,840.32 / $48,977.88
| Facility | | $14,454.40 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $42,657.95 / $79,432.82
| Facility | | $25,118.86 | $42,657.95 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $100,000.00 / $100,000.00
| Facility | | $100,000.00 | $100,000.00 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $39,810.72 / $66,069.34
| Facility | | $15,488.17 | $39,810.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $35,481.34 / $85,113.80
| Facility | | $25,118.86 | $35,481.34 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $33,884.42 / $77,624.71
| Facility | | $7,079.46 | $33,884.42 | $77,624.71 |