- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $81,283.05 / $151,356.12
| Facility | | $30,902.95 | $81,283.05 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $125,892.54 / $158,489.32
| Facility | | $85,113.80 | $125,892.54 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $107,151.93 / $138,038.43
| Facility | | $67,608.30 | $107,151.93 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $95,499.26 / $239,883.29
| Facility | | $53,703.18 | $95,499.26 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $81,283.05 / $134,896.29
| Facility | | $10,000.00 | $81,283.05 | $134,896.29 |