- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,881.25 / $65,045.80 / $84,926.40
| Facility | | $1,881.25 | $65,045.80 | $84,926.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $7,170.00 / $69,886.67
| Facility | | $3,105.00 | $7,170.00 | $69,886.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,339.44 / $39,531.98 / $92,990.42
| Facility | | $35,339.44 | $39,531.98 | $92,990.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,302.38 / $86,302.38 / $86,302.38
| Facility | | $86,302.38 | $86,302.38 | $86,302.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,953.92 / $61,222.24 / $94,541.51
| Facility | | $52,953.92 | $61,222.24 | $94,541.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $7,170.00 / $69,886.67
| Facility | | $3,105.00 | $7,170.00 | $69,886.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $5,840.42 / $60,238.21
| Facility | | $3,105.00 | $5,840.42 | $60,238.21 |