- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $100,000.00 / $199,526.23
| Facility | | $85,113.80 | $100,000.00 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $87,096.36 / $117,489.76
| Facility | | $53,703.18 | $87,096.36 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $70,794.58 / $112,201.85
| Facility | | $57,543.99 | $70,794.58 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $57,543.99 / $70,794.58
| Facility | | $45,708.82 | $57,543.99 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $77,624.71 / $114,815.36
| Facility | | $53,703.18 | $77,624.71 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $61,659.50 / $79,432.82
| Facility | | $44,668.36 | $61,659.50 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $81,283.05 / $97,723.72
| Facility | | $61,659.50 | $81,283.05 | $97,723.72 |