- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $93,703.00 / $122,676.00
| Facility | | $3,822.00 | $93,703.00 | $122,676.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $85,570.02 / $229,139.78
| Facility | | $5,840.42 | $85,570.02 | $229,139.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,908.94 / $86,921.51 / $132,283.35
| Facility | | $50,908.94 | $86,921.51 | $132,283.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,324.61 / $124,324.61 / $124,324.61
| Facility | | $124,324.61 | $124,324.61 | $124,324.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,283.82 / $88,194.91 / $136,193.66
| Facility | | $76,283.82 | $88,194.91 | $136,193.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $85,570.02 / $229,139.78
| Facility | | $5,840.42 | $85,570.02 | $229,139.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $85,570.02 / $179,074.77
| Facility | | $5,840.42 | $85,570.02 | $179,074.77 |