- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,037.00 / $33,780.19 / $93,963.80
| Facility | | $2,037.00 | $33,780.19 | $93,963.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,783.40 / $98,783.40 / $104,955.53
| Facility | | $98,783.40 | $98,783.40 | $104,955.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,528.00 / $11,528.00 / $11,528.00
| Facility | | $11,528.00 | $11,528.00 | $11,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $38,176.81 / $45,187.94
| Facility | | $7,500.00 | $38,176.81 | $45,187.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $28,643.10 / $104,955.53
| Facility | | $7,500.00 | $28,643.10 | $104,955.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.00 / $5,700.00 / $31,744.00
| Facility | | $5,700.00 | $5,700.00 | $31,744.00 |