- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,250.00 / $49,400.10 / $80,105.00
| Facility | | $31,250.00 | $49,400.10 | $80,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,854.26 / $42,620.36 / $98,111.88
| Facility | | $34,854.26 | $42,620.36 | $98,111.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $35,897.49 / $68,849.72
| Facility | | $100.00 | $35,897.49 | $68,849.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,390.07 / $51,850.00 / $90,955.27
| Facility | | $34,390.07 | $51,850.00 | $90,955.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,606.85 / $67,675.70 / $79,423.17
| Facility | | $46,606.85 | $67,675.70 | $79,423.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,694.65 / $43,546.22 / $91,748.58
| Facility | | $29,694.65 | $43,546.22 | $91,748.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $40,144.86 / $82,187.44
| Facility | | $5,693.00 | $40,144.86 | $82,187.44 |