- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,145.00 / $52,216.50 / $67,299.30
| Facility | | $4,145.00 | $52,216.50 | $67,299.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $58,771.87 / $157,379.57
| Facility | | $5,840.42 | $58,771.87 | $157,379.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,364.30 / $62,682.85 / $92,006.90
| Facility | | $36,364.30 | $62,682.85 | $92,006.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,389.60 / $85,389.60 / $85,389.60
| Facility | | $85,389.60 | $85,389.60 | $85,389.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,393.85 / $60,574.72 / $93,541.59
| Facility | | $52,393.85 | $60,574.72 | $93,541.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $58,771.87 / $157,379.57
| Facility | | $5,840.42 | $58,771.87 | $157,379.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $58,771.87 / $122,993.53
| Facility | | $5,840.42 | $58,771.87 | $122,993.53 |