- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,863.50 / $120,207.00 / $166,292.00
| Facility | | $35,863.50 | $120,207.00 | $166,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $28,422.92
| Facility | | $1,146.00 | $3,000.00 | $28,422.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,244.17 / $62,513.67 / $115,953.87
| Facility | | $45,244.17 | $62,513.67 | $115,953.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,085.48 / $62,513.67 / $115,953.87
| Facility | | $44,085.48 | $62,513.67 | $115,953.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $80,011.47 / $124,059.02
| Facility | | $5,419.00 | $80,011.47 | $124,059.02 |