- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,914.69 / $91,550.20 / $119,532.00
| Facility | | $38,914.69 | $91,550.20 | $119,532.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $82,524.25 / $223,875.35
| Facility | | $5,840.42 | $82,524.25 | $223,875.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,739.32 / $84,924.51 / $123,093.89
| Facility | | $49,739.32 | $84,924.51 | $123,093.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121,468.28 / $121,468.28 / $121,468.28
| Facility | | $121,468.28 | $121,468.28 | $121,468.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,531.22 / $86,168.65 / $133,064.64
| Facility | | $74,531.22 | $86,168.65 | $133,064.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $82,524.25 / $223,875.35
| Facility | | $5,840.42 | $82,524.25 | $223,875.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $82,524.25 / $174,960.57
| Facility | | $5,840.42 | $82,524.25 | $174,960.57 |