- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,824.00 / $55,623.40 / $72,624.10
| Facility | | $26,824.00 | $55,623.40 | $72,624.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,795.54 / $136,020.51
| Facility | | $5,840.42 | $50,795.54 | $136,020.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,429.05 / $51,968.62 / $78,525.21
| Facility | | $31,429.05 | $51,968.62 | $78,525.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,800.78 / $73,800.78 / $73,800.78
| Facility | | $73,800.78 | $73,800.78 | $73,800.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,283.12 / $52,353.70 / $80,846.41
| Facility | | $45,283.12 | $52,353.70 | $80,846.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,795.54 / $136,020.51
| Facility | | $5,840.42 | $50,795.54 | $136,020.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,795.54 / $106,301.23
| Facility | | $5,840.42 | $50,795.54 | $106,301.23 |