- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,154.60 / $85,339.80 / $111,423.00
| Facility | | $41,154.60 | $85,339.80 | $111,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,932.74 / $208,688.63
| Facility | | $5,840.42 | $77,932.74 | $208,688.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,219.83 / $79,732.53 / $120,476.82
| Facility | | $48,219.83 | $79,732.53 | $120,476.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,228.41 / $113,228.41 / $113,228.41
| Facility | | $113,228.41 | $113,228.41 | $113,228.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,475.35 / $80,323.35 / $124,038.12
| Facility | | $69,475.35 | $80,323.35 | $124,038.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,932.74 / $208,688.63
| Facility | | $5,840.42 | $77,932.74 | $208,688.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,932.74 / $163,092.01
| Facility | | $5,840.42 | $77,932.74 | $163,092.01 |