- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $41,881.10 / $81,757.10
| Facility | | $4,804.00 | $41,881.10 | $81,757.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,137.68 / $40,137.68 / $40,137.68
| Facility | | $40,137.68 | $40,137.68 | $40,137.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $910.00 / $2,297.00 / $50,000.00
| Facility | | $910.00 | $2,297.00 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,654.40 / $53,606.00 / $95,064.70
| Facility | | $30,654.40 | $53,606.00 | $95,064.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,844.51 / $45,080.00 / $103,976.12
| Facility | | $31,844.51 | $45,080.00 | $103,976.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,539.00 / $36,352.51 / $73,206.31
| Facility | | $13,539.00 | $36,352.51 | $73,206.31 |