- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,109.00 / $89,392.70 / $116,715.00
| Facility | | $43,109.00 | $89,392.70 | $116,715.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $81,633.85 / $218,599.48
| Facility | | $5,840.42 | $81,633.85 | $218,599.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,509.84 / $83,519.12 / $126,198.40
| Facility | | $50,509.84 | $83,519.12 | $126,198.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118,605.75 / $118,605.75 / $118,605.75
| Facility | | $118,605.75 | $118,605.75 | $118,605.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,774.81 / $84,137.99 / $129,928.82
| Facility | | $72,774.81 | $84,137.99 | $129,928.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $81,633.85 / $218,599.48
| Facility | | $5,840.42 | $81,633.85 | $218,599.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $81,633.85 / $170,837.43
| Facility | | $5,840.42 | $81,633.85 | $170,837.43 |