- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,717.50 / $99,606.60 / $137,794.00
| Facility | | $29,717.50 | $99,606.60 | $137,794.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $31,799.75
| Facility | | $1,146.00 | $3,000.00 | $31,799.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,490.58 / $53,491.50 / $96,082.62
| Facility | | $37,490.58 | $53,491.50 | $96,082.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,243.19 / $51,800.57 / $96,082.62
| Facility | | $30,243.19 | $51,800.57 | $96,082.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,036.00 / $61,063.52 / $102,798.78
| Facility | | $3,036.00 | $61,063.52 | $102,798.78 |