- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $83,191.70 / $108,618.00
| Facility | | $4,145.00 | $83,191.70 | $108,618.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,971.07 / $203,435.65
| Facility | | $5,840.42 | $75,971.07 | $203,435.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,198.15 / $78,381.00 / $118,932.11
| Facility | | $45,198.15 | $78,381.00 | $118,932.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,378.29 / $110,378.29 / $110,378.29
| Facility | | $110,378.29 | $110,378.29 | $110,378.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,726.56 / $78,301.50 / $120,915.91
| Facility | | $67,726.56 | $78,301.50 | $120,915.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,971.07 / $203,435.65
| Facility | | $5,840.42 | $75,971.07 | $203,435.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,971.07 / $158,986.76
| Facility | | $5,840.42 | $75,971.07 | $158,986.76 |