- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $60,255.96 / $112,201.85
| Facility | | $22,908.68 | $60,255.96 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $93,325.43 / $117,489.76
| Facility | | $53,703.18 | $93,325.43 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $81,283.05 / $104,712.85
| Facility | | $51,286.14 | $81,283.05 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $70,794.58 / $177,827.94
| Facility | | $39,810.72 | $70,794.58 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $60,255.96 / $100,000.00
| Facility | | $10,000.00 | $60,255.96 | $100,000.00 |