- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $61,659.50 / $114,815.36
| Facility | | $23,442.29 | $61,659.50 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $97,723.72 / $120,226.44
| Facility | | $64,565.42 | $97,723.72 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $81,283.05 / $104,712.85
| Facility | | $52,480.75 | $81,283.05 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $72,443.60 / $181,970.09
| Facility | | $40,738.03 | $72,443.60 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $61,659.50 / $102,329.30
| Facility | | $10,000.00 | $61,659.50 | $102,329.30 |