- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $82,310.30 / $102,180.00
| Facility | | $3,822.00 | $82,310.30 | $102,180.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,195.33 / $201,280.29
| Facility | | $5,840.42 | $74,195.33 | $201,280.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,181.33 / $76,902.07 / $110,670.39
| Facility | | $39,181.33 | $76,902.07 | $110,670.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,208.86 / $109,208.86 / $109,208.86
| Facility | | $109,208.86 | $109,208.86 | $109,208.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,009.00 / $77,471.91 / $119,634.83
| Facility | | $67,009.00 | $77,471.91 | $119,634.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,195.33 / $201,280.29
| Facility | | $5,840.42 | $74,195.33 | $201,280.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,195.33 / $157,302.32
| Facility | | $5,840.42 | $74,195.33 | $157,302.32 |