- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,194.00 / $74,031.80 / $146,264.00
| Facility | | $5,194.00 | $74,031.80 | $146,264.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,315.73 / $46,315.73 / $46,315.73
| Facility | | $46,315.73 | $46,315.73 | $46,315.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $49,495.82 / $139,538.29
| Facility | | $5,939.30 | $49,495.82 | $139,538.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,300.00 / $79,144.50 / $130,588.43
| Facility | | $31,300.00 | $79,144.50 | $130,588.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $66,787.41 / $147,984.39
| Facility | | $3,535.00 | $66,787.41 | $147,984.39 |