- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,825.30 / $82,583.30 / $107,824.00
| Facility | | $39,825.30 | $82,583.30 | $107,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,415.47 / $201,947.88
| Facility | | $5,840.42 | $75,415.47 | $201,947.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,662.31 / $77,157.14 / $116,585.36
| Facility | | $46,662.31 | $77,157.14 | $116,585.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,571.07 / $109,571.07 / $109,571.07
| Facility | | $109,571.07 | $109,571.07 | $109,571.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,231.25 / $77,728.87 / $120,031.62
| Facility | | $67,231.25 | $77,728.87 | $120,031.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,415.47 / $201,947.88
| Facility | | $5,840.42 | $75,415.47 | $201,947.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,415.47 / $157,824.06
| Facility | | $5,840.42 | $75,415.47 | $157,824.06 |