- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,393.00 / $60,058.60 / $122,023.00
| Facility | | $31,393.00 | $60,058.60 | $122,023.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,802.46 / $91,802.46 / $97,538.40
| Facility | | $91,802.46 | $91,802.46 | $97,538.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $35,478.87 / $62,191.07
| Facility | | $7,500.00 | $35,478.87 | $62,191.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $39,420.81 / $97,538.40
| Facility | | $7,500.00 | $39,420.81 | $97,538.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,432.00 / $2,432.00 / $2,432.00
| Facility | | $2,432.00 | $2,432.00 | $2,432.00 |