- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $106,154.00 / $112,199.00
| Facility | | $3,822.00 | $106,154.00 | $112,199.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $96,717.03 / $262,378.13
| Facility | | $5,840.42 | $96,717.03 | $262,378.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,755.66 / $95,265.79 / $144,263.95
| Facility | | $51,755.66 | $95,265.79 | $144,263.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142,358.76 / $142,358.76 / $142,358.76
| Facility | | $142,358.76 | $142,358.76 | $142,358.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,349.33 / $100,988.21 / $155,949.50
| Facility | | $87,349.33 | $100,988.21 | $155,949.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $96,717.03 / $262,378.13
| Facility | | $5,840.42 | $96,717.03 | $262,378.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $96,717.03 / $205,050.83
| Facility | | $5,840.42 | $96,717.03 | $205,050.83 |