- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $87,703.20 / $117,134.00
| Facility | | $3,822.00 | $87,703.20 | $117,134.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $79,056.56 / $214,468.06
| Facility | | $5,840.42 | $79,056.56 | $214,468.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,555.23 / $81,940.64 / $123,813.31
| Facility | | $49,555.23 | $81,940.64 | $123,813.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116,364.16 / $116,364.16 / $116,364.16
| Facility | | $116,364.16 | $116,364.16 | $116,364.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,399.39 / $82,547.83 / $127,473.23
| Facility | | $71,399.39 | $82,547.83 | $127,473.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $79,056.56 / $214,468.06
| Facility | | $5,840.42 | $79,056.56 | $214,468.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $80,091.00 / $167,608.69
| Facility | | $5,840.42 | $80,091.00 | $167,608.69 |