- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,120.90 / $91,490.90 / $119,454.00
| Facility | | $44,120.90 | $91,490.90 | $119,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $83,549.94 / $223,730.39
| Facility | | $5,840.42 | $83,549.94 | $223,730.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,695.40 / $85,479.46 / $129,160.49
| Facility | | $51,695.40 | $85,479.46 | $129,160.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121,389.63 / $121,389.63 / $121,389.63
| Facility | | $121,389.63 | $121,389.63 | $121,389.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,482.96 / $86,112.86 / $132,978.48
| Facility | | $74,482.96 | $86,112.86 | $132,978.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $83,549.94 / $223,730.39
| Facility | | $5,840.42 | $83,549.94 | $223,730.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $83,549.94 / $174,847.28
| Facility | | $5,840.42 | $83,549.94 | $174,847.28 |