- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $55,274.70 / $72,650.00
| Facility | | $5,767.00 | $55,274.70 | $72,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,359.28 / $41,359.28 / $41,359.28
| Facility | | $41,359.28 | $41,359.28 | $41,359.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,171.98 / $57,659.28 / $97,522.91
| Facility | | $21,171.98 | $57,659.28 | $97,522.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,840.66 / $55,776.25 / $99,489.08
| Facility | | $39,840.66 | $55,776.25 | $99,489.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,612.29 / $61,961.48 / $90,468.81
| Facility | | $47,612.29 | $61,961.48 | $90,468.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,612.29 / $57,601.45 / $90,468.81
| Facility | | $47,612.29 | $57,601.45 | $90,468.81 |