- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118,533.00 / $118,533.00 / $118,533.00
| Facility | | $118,533.00 | $118,533.00 | $118,533.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,110.36 / $94,322.15 / $94,322.15
| Facility | | $91,110.36 | $94,322.15 | $94,322.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,637.34 / $78,398.07 / $144,717.26
| Facility | | $55,637.34 | $78,398.07 | $144,717.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,450.00 / $1,450.00 / $1,450.00
| Facility | | $1,450.00 | $1,450.00 | $1,450.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,637.34 / $78,398.07 / $143,965.82
| Facility | | $55,637.34 | $78,398.07 | $143,965.82 |