- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,989.00 / $53,891.80 / $70,363.30
| Facility | | $25,989.00 | $53,891.80 | $70,363.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,214.23 / $131,786.07
| Facility | | $5,840.42 | $49,214.23 | $131,786.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,450.64 / $50,350.80 / $76,080.66
| Facility | | $30,450.64 | $50,350.80 | $76,080.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,503.31 / $71,503.31 / $71,503.31
| Facility | | $71,503.31 | $71,503.31 | $71,503.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,873.42 / $50,723.89 / $78,329.60
| Facility | | $43,873.42 | $50,723.89 | $78,329.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,214.23 / $131,786.07
| Facility | | $5,840.42 | $49,214.23 | $131,786.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $49,214.23 / $102,991.99
| Facility | | $5,840.42 | $49,214.23 | $102,991.99 |