- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $111,234.00 / $145,232.00
| Facility | | $3,822.00 | $111,234.00 | $145,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $100,267.68 / $272,010.50
| Facility | | $5,840.42 | $100,267.68 | $272,010.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,211.05 / $103,925.58 / $157,032.79
| Facility | | $58,211.05 | $103,925.58 | $157,032.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,585.01 / $147,585.01 / $147,585.01
| Facility | | $147,585.01 | $147,585.01 | $147,585.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,556.08 / $104,695.66 / $161,674.69
| Facility | | $90,556.08 | $104,695.66 | $161,674.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $100,267.68 / $272,010.50
| Facility | | $5,840.42 | $100,267.68 | $272,010.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $101,579.68 / $212,578.62
| Facility | | $5,840.42 | $101,579.68 | $212,578.62 |