- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,000.00 / $29,000.00 / $29,000.00
| Facility | | $29,000.00 | $29,000.00 | $29,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,421.94 / $30,571.45 / $41,438.35
| Facility | | $6,421.94 | $30,571.45 | $41,438.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,952.22 / $37,916.56 / $74,232.39
| Facility | | $29,952.22 | $37,916.56 | $74,232.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,000.00 / $29,000.00 / $29,000.00
| Facility | | $29,000.00 | $29,000.00 | $29,000.00 |
- 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 |