- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,270.50 / $91,404.80 / $126,448.00
| Facility | | $27,270.50 | $91,404.80 | $126,448.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $36,415.81
| Facility | | $1,146.00 | $3,000.00 | $36,415.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,403.54 / $47,535.21 / $88,170.98
| Facility | | $34,403.54 | $47,535.21 | $88,170.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,403.54 / $47,535.21 / $88,170.98
| Facility | | $34,403.54 | $47,535.21 | $88,170.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $60,840.49 / $94,334.11
| Facility | | $5,419.00 | $60,840.49 | $94,334.11 |