- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $83,141.80 / $108,553.00
| Facility | | $3,822.00 | $83,141.80 | $108,553.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,944.84 / $203,313.58
| Facility | | $5,840.42 | $74,944.84 | $203,313.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,977.87 / $77,678.92 / $117,373.78
| Facility | | $46,977.87 | $77,678.92 | $117,373.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,312.06 / $110,312.06 / $110,312.06
| Facility | | $110,312.06 | $110,312.06 | $110,312.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,685.92 / $78,254.52 / $120,843.35
| Facility | | $67,685.92 | $78,254.52 | $120,843.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $74,944.84 / $203,313.58
| Facility | | $5,840.42 | $74,944.84 | $203,313.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $75,925.48 / $158,891.35
| Facility | | $5,840.42 | $75,925.48 | $158,891.35 |