- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,549.50 / $86,158.80 / $112,492.00
| Facility | | $41,549.50 | $86,158.80 | $112,492.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,680.66 / $210,691.40
| Facility | | $5,840.42 | $78,680.66 | $210,691.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,682.59 / $80,497.73 / $121,633.03
| Facility | | $48,682.59 | $80,497.73 | $121,633.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,953.70 / $110,953.70 / $110,953.70
| Facility | | $110,953.70 | $110,953.70 | $110,953.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,142.10 / $81,094.21 / $125,228.50
| Facility | | $70,142.10 | $81,094.21 | $125,228.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,680.66 / $210,691.40
| Facility | | $5,840.42 | $78,680.66 | $210,691.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $78,680.66 / $164,657.20
| Facility | | $5,840.42 | $78,680.66 | $164,657.20 |