- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $150,988.00 / $159,587.00
| Facility | | $4,145.00 | $150,988.00 | $159,587.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $139,365.76 / $373,194.25
| Facility | | $5,840.42 | $139,365.76 | $373,194.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,914.12 / $141,566.90 / $205,194.23
| Facility | | $82,914.12 | $141,566.90 | $205,194.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $202,484.39 / $202,484.39 / $202,484.39
| Facility | | $202,484.39 | $202,484.39 | $202,484.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,241.56 / $143,640.84 / $221,815.20
| Facility | | $124,241.56 | $143,640.84 | $221,815.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $139,365.76 / $373,194.25
| Facility | | $5,840.42 | $139,365.76 | $373,194.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $139,365.76 / $291,654.62
| Facility | | $5,840.42 | $139,365.76 | $291,654.62 |