- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $93,325.43 / $100,000.00
| Facility | | $54,954.09 | $93,325.43 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $93,325.43 / $128,824.96
| Facility | | $61,659.50 | $93,325.43 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $74,131.02 / $120,226.44
| Facility | | $34,673.69 | $74,131.02 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $72,443.60 / $102,329.30
| Facility | | $20,892.96 | $72,443.60 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $87,096.36 / $134,896.29
| Facility | | $4,073.80 | $87,096.36 | $134,896.29 |