- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $105,155.00 / $163,637.00
| Facility | | $3,333.00 | $105,155.00 | $163,637.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,808.30 / $108,258.67 / $162,202.14
| Facility | | $66,808.30 | $108,258.67 | $162,202.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,301.53 / $108,099.94 / $195,656.00
| Facility | | $78,301.53 | $108,099.94 | $195,656.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.41 / $1,166.85 / $2,048.55
| Facility | | $597.41 | $1,166.85 | $2,048.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,560.00 / $117,393.60 / $189,218.92
| Facility | | $77,560.00 | $117,393.60 | $189,218.92 |