- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $72,048.60 / $100,657.00
| Facility | | $3,822.00 | $72,048.60 | $100,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,795.14 / $176,186.54
| Facility | | $5,840.42 | $65,795.14 | $176,186.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,709.86 / $67,314.64 / $101,713.23
| Facility | | $40,709.86 | $67,314.64 | $101,713.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,593.71 / $95,593.71 / $95,593.71
| Facility | | $95,593.71 | $95,593.71 | $95,593.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,654.95 / $67,813.44 / $104,719.87
| Facility | | $58,654.95 | $67,813.44 | $104,719.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,795.14 / $176,186.54
| Facility | | $5,840.42 | $65,795.14 | $176,186.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,795.14 / $137,691.34
| Facility | | $5,840.42 | $65,795.14 | $137,691.34 |