- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,303.46 / $71,173.39 / $92,927.00
| Facility | | $34,303.46 | $71,173.39 | $92,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,156.47 / $174,046.44
| Facility | | $5,840.42 | $64,156.47 | $174,046.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,668.62 / $63,193.80 / $95,696.34
| Facility | | $38,668.62 | $63,193.80 | $95,696.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,432.56 / $94,432.56 / $94,432.56
| Facility | | $94,432.56 | $94,432.56 | $94,432.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,942.48 / $66,989.72 / $103,447.86
| Facility | | $57,942.48 | $66,989.72 | $103,447.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,156.47 / $174,046.44
| Facility | | $5,840.42 | $64,156.47 | $174,046.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $64,156.47 / $136,018.82
| Facility | | $5,840.42 | $64,156.47 | $136,018.82 |