- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,600.00 / $55,212.90 / $74,494.89
| Facility | | $26,600.00 | $55,212.90 | $74,494.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,747.76 / $58,347.10 / $76,342.00
| Facility | | $36,747.76 | $58,347.10 | $76,342.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,793.16 / $62,922.22 / $88,399.19
| Facility | | $31,793.16 | $62,922.22 | $88,399.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,797.00 / $47,797.00 / $47,797.00
| Facility | | $47,797.00 | $47,797.00 | $47,797.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,000.00 / $61,747.00 / $82,345.75
| Facility | | $20,000.00 | $61,747.00 | $82,345.75 |