- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182,093.00 / $182,093.00 / $182,093.00
| Facility | | $182,093.00 | $182,093.00 | $182,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139,965.76 / $144,899.79 / $144,899.79
| Facility | | $139,965.76 | $144,899.79 | $144,899.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,471.32 / $120,436.86 / $223,188.97
| Facility | | $85,471.32 | $120,436.86 | $223,188.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,450.00 / $1,450.00 / $1,450.00
| Facility | | $1,450.00 | $1,450.00 | $1,450.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,471.32 / $120,436.86 / $221,163.52
| Facility | | $85,471.32 | $120,436.86 | $221,163.52 |