- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $83,176.38 / $100,000.00
| Facility | | $69,183.10 | $83,176.38 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $85,113.80 / $131,825.67
| Facility | | $66,069.34 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $125,892.54 / $125,892.54
| Facility | | $58,884.37 | $125,892.54 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $95,499.26 / $141,253.75
| Facility | | $69,183.10 | $95,499.26 | $141,253.75 |