- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $48,977.88 / $91,201.08
| Facility | | $18,620.87 | $48,977.88 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $77,624.71 / $95,499.26
| Facility | | $51,286.14 | $77,624.71 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $64,565.42 / $83,176.38
| Facility | | $41,686.94 | $64,565.42 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $57,543.99 / $144,543.98
| Facility | | $32,359.37 | $57,543.99 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $48,977.88 / $79,432.82
| Facility | | $10,000.00 | $48,977.88 | $79,432.82 |