- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,695.00 / $74,114.60 / $159,583.00
| Facility | | $3,695.00 | $74,114.60 | $159,583.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $167,768.03 / $167,768.03 / $178,250.40
| Facility | | $167,768.03 | $167,768.03 | $178,250.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,549.04 / $20,218.25 / $380,425.28
| Facility | | $8,549.04 | $20,218.25 | $380,425.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $64,837.28 / $102,313.16
| Facility | | $7,500.00 | $64,837.28 | $102,313.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $64,852.83 / $178,250.40
| Facility | | $7,500.00 | $64,852.83 | $178,250.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,200.00 / $3,200.00 / $3,200.00
| Facility | | $3,200.00 | $3,200.00 | $3,200.00 |