- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $78,627.10 / $105,013.00
| Facility | | $4,145.00 | $78,627.10 | $105,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,802.69 / $192,273.55
| Facility | | $5,840.42 | $71,802.69 | $192,273.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,718.22 / $76,176.82 / $112,406.54
| Facility | | $42,718.22 | $76,176.82 | $112,406.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,322.06 / $104,322.06 / $104,322.06
| Facility | | $104,322.06 | $104,322.06 | $104,322.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,010.54 / $74,005.25 / $114,281.49
| Facility | | $64,010.54 | $74,005.25 | $114,281.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,802.69 / $192,273.55
| Facility | | $5,840.42 | $71,802.69 | $192,273.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $71,802.69 / $150,263.48
| Facility | | $5,840.42 | $71,802.69 | $150,263.48 |