- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $94,576.60 / $121,664.00
| Facility | | $4,145.00 | $94,576.60 | $121,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $86,367.80 / $231,276.06
| Facility | | $5,840.42 | $86,367.80 | $231,276.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,989.92 / $88,362.40 / $135,208.10
| Facility | | $52,989.92 | $88,362.40 | $135,208.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,483.69 / $125,483.69 / $125,483.69
| Facility | | $125,483.69 | $125,483.69 | $125,483.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,995.02 / $89,017.16 / $137,463.39
| Facility | | $76,995.02 | $89,017.16 | $137,463.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $86,367.80 / $231,276.06
| Facility | | $5,840.42 | $86,367.80 | $231,276.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $86,367.80 / $180,744.29
| Facility | | $5,840.42 | $86,367.80 | $180,744.29 |