- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,815.50 / $74,268.50 / $96,968.00
| Facility | | $35,815.50 | $74,268.50 | $96,968.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $67,822.36 / $181,615.00
| Facility | | $5,840.42 | $67,822.36 | $181,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,964.17 / $69,388.66 / $106,175.36
| Facility | | $41,964.17 | $69,388.66 | $106,175.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,539.04 / $98,539.04 / $98,539.04
| Facility | | $98,539.04 | $98,539.04 | $98,539.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,462.16 / $69,902.83 / $107,946.38
| Facility | | $60,462.16 | $69,902.83 | $107,946.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $67,822.36 / $181,615.00
| Facility | | $5,840.42 | $67,822.36 | $181,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $67,822.36 / $141,933.73
| Facility | | $5,840.42 | $67,822.36 | $141,933.73 |