- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $85,218.10 / $111,264.00
| Facility | | $4,145.00 | $85,218.10 | $111,264.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,821.62 / $208,391.08
| Facility | | $5,840.42 | $77,821.62 | $208,391.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,299.11 / $79,050.73 / $114,580.13
| Facility | | $46,299.11 | $79,050.73 | $114,580.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,066.96 / $113,066.96 / $113,066.96
| Facility | | $113,066.96 | $113,066.96 | $113,066.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,376.28 / $80,208.82 / $123,861.26
| Facility | | $69,376.28 | $80,208.82 | $123,861.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,821.62 / $208,391.08
| Facility | | $5,840.42 | $77,821.62 | $208,391.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,821.62 / $162,859.48
| Facility | | $5,840.42 | $77,821.62 | $162,859.48 |