- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,600.00 / $63,320.40 / $82,673.70
| Facility | | $8,600.00 | $63,320.40 | $82,673.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $7,170.00 / $68,032.89
| Facility | | $3,105.00 | $7,170.00 | $68,032.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,402.05 / $38,483.37 / $90,523.82
| Facility | | $34,402.05 | $38,483.37 | $90,523.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,013.18 / $84,013.18 / $84,013.18
| Facility | | $84,013.18 | $84,013.18 | $84,013.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,549.30 / $59,598.30 / $92,033.77
| Facility | | $51,549.30 | $59,598.30 | $92,033.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $7,170.00 / $68,032.89
| Facility | | $3,105.00 | $7,170.00 | $68,032.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $5,840.42 / $58,640.37
| Facility | | $3,105.00 | $5,840.42 | $58,640.37 |