- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,891.00 / $55,762.20 / $72,805.39
| Facility | | $26,891.00 | $55,762.20 | $72,805.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,922.33 / $136,360.03
| Facility | | $5,840.42 | $50,922.33 | $136,360.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,507.50 / $52,098.34 / $78,721.21
| Facility | | $31,507.50 | $52,098.34 | $78,721.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,985.00 / $73,985.00 / $73,985.00
| Facility | | $73,985.00 | $73,985.00 | $73,985.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,396.15 / $52,484.38 / $81,048.21
| Facility | | $45,396.15 | $52,484.38 | $81,048.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,922.33 / $136,360.03
| Facility | | $5,840.42 | $50,922.33 | $136,360.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,922.33 / $106,566.57
| Facility | | $5,840.42 | $50,922.33 | $106,566.57 |