- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $4,876.00 / $18,600.00
| Facility | | $1,000.00 | $4,876.00 | $18,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,756.65 / $56,546.85 / $88,413.19
| Facility | | $35,756.65 | $56,546.85 | $88,413.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,269.27 / $43,269.27 / $43,269.27
| Facility | | $43,269.27 | $43,269.27 | $43,269.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.01 / $939.94 / $40,432.87
| Facility | | $548.01 | $939.94 | $40,432.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,350.00 / $26,584.00 / $49,290.84
| Facility | | $6,350.00 | $26,584.00 | $49,290.84 |