- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $41,686.94 / $54,954.09
| Facility | | $25,703.96 | $41,686.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $81,283.05 / $100,000.00
| Facility | | $54,954.09 | $81,283.05 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,904.51 / $52,480.75
| Facility | | $26,302.68 | $38,904.51 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $34,673.69 / $57,543.99
| Facility | | $22,908.68 | $34,673.69 | $57,543.99 |