- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,243.00 / $64,786.80 / $84,588.30
| Facility | | $31,243.00 | $64,786.80 | $84,588.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,163.64 / $158,428.64
| Facility | | $5,840.42 | $59,163.64 | $158,428.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,606.69 / $60,529.98 / $91,461.52
| Facility | | $36,606.69 | $60,529.98 | $91,461.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,958.79 / $85,958.79 / $85,958.79
| Facility | | $85,958.79 | $85,958.79 | $85,958.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,743.10 / $60,978.50 / $94,165.12
| Facility | | $52,743.10 | $60,978.50 | $94,165.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,163.64 / $158,428.64
| Facility | | $5,840.42 | $59,163.64 | $158,428.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,163.64 / $123,813.39
| Facility | | $5,840.42 | $59,163.64 | $123,813.39 |