- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $72,262.50 / $109,985.00
| Facility | | $3,333.00 | $72,262.50 | $109,985.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,900.80 / $72,758.95 / $109,013.50
| Facility | | $44,900.80 | $72,758.95 | $109,013.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,628.70 / $72,657.07 / $131,506.00
| Facility | | $52,628.70 | $72,657.07 | $131,506.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.97 / $1,146.45 / $2,012.71
| Facility | | $586.97 | $1,146.45 | $2,012.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,002.38 / $80,041.13 / $127,179.45
| Facility | | $55,002.38 | $80,041.13 | $127,179.45 |