- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $121,664.00 / $137,517.00
| Facility | | $4,145.00 | $121,664.00 | $137,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $120,092.36 / $321,583.83
| Facility | | $5,840.42 | $120,092.36 | $321,583.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,447.62 / $121,989.08 / $176,817.15
| Facility | | $71,447.62 | $121,989.08 | $176,817.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174,482.07 / $174,482.07 / $174,482.07
| Facility | | $174,482.07 | $174,482.07 | $174,482.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,059.73 / $123,776.22 / $191,139.55
| Facility | | $107,059.73 | $123,776.22 | $191,139.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $120,092.36 / $321,583.83
| Facility | | $5,840.42 | $120,092.36 | $321,583.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $120,092.36 / $251,320.61
| Facility | | $5,840.42 | $120,092.36 | $251,320.61 |