- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,000.00 / $68,749.00 / $77,190.17
| Facility | | $26,000.00 | $68,749.00 | $77,190.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,388.00 / $62,079.10 / $100,117.08
| Facility | | $36,388.00 | $62,079.10 | $100,117.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,000.00 / $52,952.40 / $62,654.98
| Facility | | $20,000.00 | $52,952.40 | $62,654.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,450.57 / $50,518.05 / $64,068.87
| Facility | | $32,450.57 | $50,518.05 | $64,068.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,725.00 / $56,365.84 / $87,183.75
| Facility | | $27,725.00 | $56,365.84 | $87,183.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,966.51 / $50,332.35 / $66,961.37
| Facility | | $37,966.51 | $50,332.35 | $66,961.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,750.00 / $51,973.20 / $77,445.84
| Facility | | $25,750.00 | $51,973.20 | $77,445.84 |