- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,300.50 / $85,642.40 / $111,818.00
| Facility | | $41,300.50 | $85,642.40 | $111,818.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,198.97 / $209,428.71
| Facility | | $5,840.42 | $77,198.97 | $209,428.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,390.83 / $80,015.28 / $120,904.07
| Facility | | $48,390.83 | $80,015.28 | $120,904.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,629.95 / $113,629.95 / $113,629.95
| Facility | | $113,629.95 | $113,629.95 | $113,629.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,721.73 / $80,608.20 / $124,477.99
| Facility | | $69,721.73 | $80,608.20 | $124,477.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $77,198.97 / $209,428.71
| Facility | | $5,840.42 | $77,198.97 | $209,428.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $60,822.60 / $163,670.39
| Facility | | $5,840.42 | $60,822.60 | $163,670.39 |