- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $55,478.30 / $74,095.50
| Facility | | $3,822.00 | $55,478.30 | $74,095.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,008.69 / $135,665.73
| Facility | | $5,840.42 | $50,008.69 | $135,665.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,830.96 / $51,833.07 / $74,593.39
| Facility | | $26,830.96 | $51,833.07 | $74,593.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,608.30 / $73,608.30 / $73,608.30
| Facility | | $73,608.30 | $73,608.30 | $73,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,165.01 / $52,217.15 / $80,635.55
| Facility | | $45,165.01 | $52,217.15 | $80,635.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,008.69 / $135,665.73
| Facility | | $5,840.42 | $50,008.69 | $135,665.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,008.69 / $106,023.97
| Facility | | $5,840.42 | $50,008.69 | $106,023.97 |