- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $117,996.00 / $127,731.00
| Facility | | $4,145.00 | $117,996.00 | $127,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $107,506.80 / $291,649.09
| Facility | | $5,840.42 | $107,506.80 | $291,649.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,796.89 / $110,633.69 / $160,358.07
| Facility | | $64,796.89 | $110,633.69 | $160,358.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158,240.35 / $158,240.35 / $158,240.35
| Facility | | $158,240.35 | $158,240.35 | $158,240.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,094.04 / $112,254.47 / $173,347.27
| Facility | | $97,094.04 | $112,254.47 | $173,347.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $107,506.80 / $291,649.09
| Facility | | $5,840.42 | $107,506.80 | $291,649.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $107,506.80 / $227,926.35
| Facility | | $5,840.42 | $107,506.80 | $227,926.35 |