- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,909.50 / $86,832.70 / $113,372.00
| Facility | | $36,909.50 | $86,832.70 | $113,372.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,271.89 / $212,339.40
| Facility | | $5,840.42 | $78,271.89 | $212,339.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,063.38 / $81,127.37 / $122,584.42
| Facility | | $49,063.38 | $81,127.37 | $122,584.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,209.21 / $115,209.21 / $115,209.21
| Facility | | $115,209.21 | $115,209.21 | $115,209.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,690.74 / $81,728.50 / $126,208.02
| Facility | | $70,690.74 | $81,728.50 | $126,208.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,271.89 / $212,339.40
| Facility | | $5,840.42 | $78,271.89 | $212,339.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,271.89 / $165,945.12
| Facility | | $5,840.42 | $78,271.89 | $165,945.12 |