- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $66,628.00 / $101,409.00
| Facility | | $3,333.00 | $66,628.00 | $101,409.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,404.33 / $67,093.14 / $100,524.54
| Facility | | $41,404.33 | $67,093.14 | $100,524.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,525.05 / $66,991.73 / $121,252.00
| Facility | | $48,525.05 | $66,991.73 | $121,252.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.76 / $710.48 / $1,207.06
| Facility | | $363.76 | $710.48 | $1,207.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,713.65 / $73,800.03 / $117,262.81
| Facility | | $50,713.65 | $73,800.03 | $117,262.81 |