- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $50,077.00 / $89,687.00
| Facility | | $4,145.00 | $50,077.00 | $89,687.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,867.78 / $120,147.13
| Facility | | $5,840.42 | $44,867.78 | $120,147.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,761.33 / $47,853.50 / $70,240.14
| Facility | | $27,761.33 | $47,853.50 | $70,240.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,188.35 / $65,188.35 / $65,188.35
| Facility | | $65,188.35 | $65,188.35 | $65,188.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,998.65 / $46,244.11 / $71,411.75
| Facility | | $39,998.65 | $46,244.11 | $71,411.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,867.78 / $120,147.13
| Facility | | $5,840.42 | $44,867.78 | $120,147.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $44,867.78 / $97,865.00
| Facility | | $5,840.42 | $44,867.78 | $97,865.00 |