- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,717.00 / $65,769.60 / $85,871.50
| Facility | | $31,717.00 | $65,769.60 | $85,871.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,061.14 / $160,831.97
| Facility | | $5,840.42 | $60,061.14 | $160,831.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,162.01 / $61,448.20 / $92,848.97
| Facility | | $37,162.01 | $61,448.20 | $92,848.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,262.77 / $87,262.77 / $87,262.77
| Facility | | $87,262.77 | $87,262.77 | $87,262.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,543.20 / $61,903.53 / $95,593.58
| Facility | | $53,543.20 | $61,903.53 | $95,593.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,061.14 / $160,831.97
| Facility | | $5,840.42 | $60,061.14 | $160,831.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,061.14 / $125,691.61
| Facility | | $5,840.42 | $60,061.14 | $125,691.61 |