- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $112,610.00 / $147,028.00
| Facility | | $3,822.00 | $112,610.00 | $147,028.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $101,507.95 / $275,375.15
| Facility | | $5,840.42 | $101,507.95 | $275,375.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,628.49 / $105,211.10 / $158,975.23
| Facility | | $63,628.49 | $105,211.10 | $158,975.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149,410.57 / $149,410.57 / $149,410.57
| Facility | | $149,410.57 | $149,410.57 | $149,410.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,676.22 / $105,990.70 / $163,674.54
| Facility | | $91,676.22 | $105,990.70 | $163,674.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $101,507.95 / $275,375.15
| Facility | | $5,840.42 | $101,507.95 | $275,375.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $102,836.18 / $215,208.12
| Facility | | $5,840.42 | $102,836.18 | $215,208.12 |