- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,508.60 / $107,736.00 / $165,888.00
| Facility | | $56,508.60 | $107,736.00 | $165,888.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $1,289.00 / $2,571.00
| Facility | | $500.00 | $1,289.00 | $2,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,487.00 / $247,960.30 / $247,960.30
| Facility | | $151,487.00 | $247,960.30 | $247,960.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,837.68 / $35,837.68 / $35,837.68
| Facility | | $35,837.68 | $35,837.68 | $35,837.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,985.23 / $72,331.06 / $181,602.62
| Facility | | $27,985.23 | $72,331.06 | $181,602.62 |