- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $72,262.50 / $108,473.00
| Facility | | $3,333.00 | $72,262.50 | $108,473.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,511.04 / $72,758.95 / $105,251.75
| Facility | | $43,511.04 | $72,758.95 | $105,251.75 |
- 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
- $394.52 / $770.56 / $1,352.80
| Facility | | $394.52 | $770.56 | $1,352.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,002.38 / $80,120.03 / $127,179.45
| Facility | | $55,002.38 | $80,120.03 | $127,179.45 |