- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $67,507.39 / $88,140.50
| Facility | | $3,822.00 | $67,507.39 | $88,140.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,851.90 / $165,081.66
| Facility | | $5,840.42 | $60,851.90 | $165,081.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,143.94 / $63,071.86 / $95,302.33
| Facility | | $38,143.94 | $63,071.86 | $95,302.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,568.53 / $89,568.53 / $89,568.53
| Facility | | $89,568.53 | $89,568.53 | $89,568.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,957.98 / $63,539.21 / $98,119.47
| Facility | | $54,957.98 | $63,539.21 | $98,119.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,851.90 / $165,081.66
| Facility | | $5,840.42 | $60,851.90 | $165,081.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $61,648.14 / $129,012.78
| Facility | | $5,840.42 | $61,648.14 | $129,012.78 |