- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $93,024.40 / $124,241.00
| Facility | | $3,822.00 | $93,024.40 | $124,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $84,950.32 / $227,480.34
| Facility | | $5,840.42 | $84,950.32 | $227,480.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,561.86 / $86,912.18 / $131,325.35
| Facility | | $52,561.86 | $86,912.18 | $131,325.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,424.24 / $123,424.24 / $123,424.24
| Facility | | $123,424.24 | $123,424.24 | $123,424.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,731.37 / $87,556.20 / $135,207.32
| Facility | | $75,731.37 | $87,556.20 | $135,207.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $84,950.32 / $227,480.34
| Facility | | $5,840.42 | $84,950.32 | $227,480.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $84,950.32 / $177,777.90
| Facility | | $5,840.42 | $84,950.32 | $177,777.90 |