- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $100,000.00 / $128,824.96
| Facility | | $70,794.58 | $100,000.00 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $87,096.36 / $120,226.44
| Facility | | $53,703.18 | $87,096.36 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $104,712.85 / $144,543.98
| Facility | | $54,954.09 | $104,712.85 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $107,151.93 / $125,892.54
| Facility | | $53,703.18 | $107,151.93 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $104,712.85 / $144,543.98
| Facility | | $47,863.01 | $104,712.85 | $144,543.98 |