- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,047.00 / $68,527.70 / $89,472.50
| Facility | | $33,047.00 | $68,527.70 | $89,472.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $62,579.83 / $167,576.53
| Facility | | $5,840.42 | $62,579.83 | $167,576.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,720.42 / $64,025.06 / $96,742.63
| Facility | | $38,720.42 | $64,025.06 | $96,742.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,922.17 / $90,922.17 / $90,922.17
| Facility | | $90,922.17 | $90,922.17 | $90,922.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,788.56 / $64,499.48 / $99,602.35
| Facility | | $55,788.56 | $64,499.48 | $99,602.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $62,579.83 / $167,576.53
| Facility | | $5,840.42 | $62,579.83 | $167,576.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $62,579.83 / $130,962.55
| Facility | | $5,840.42 | $62,579.83 | $130,962.55 |