- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,818.50 / $66,669.50 / $113,694.00
| Facility | | $26,818.50 | $66,669.50 | $113,694.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,185.00 / $3,200.00 / $122,238.06
| Facility | | $2,185.00 | $3,200.00 | $122,238.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,294.50 / $69,745.99 / $173,155.25
| Facility | | $8,294.50 | $69,745.99 | $173,155.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,417.00 / $81,445.03 / $143,217.73
| Facility | | $4,417.00 | $81,445.03 | $143,217.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,686.00 / $2,961.00 / $135,271.50
| Facility | | $2,686.00 | $2,961.00 | $135,271.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $86,121.57 / $132,879.13
| Facility | | $9,114.00 | $86,121.57 | $132,879.13 |