- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.10 / $77,042.20 / $100,589.00
| Facility | | $37,153.10 | $77,042.20 | $100,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $70,355.30 / $188,397.71
| Facility | | $5,840.42 | $70,355.30 | $188,397.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,531.39 / $71,980.10 / $108,762.79
| Facility | | $43,531.39 | $71,980.10 | $108,762.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,219.14 / $102,219.14 / $102,219.14
| Facility | | $102,219.14 | $102,219.14 | $102,219.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,720.22 / $72,513.46 / $111,977.82
| Facility | | $62,720.22 | $72,513.46 | $111,977.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $70,355.30 / $188,397.71
| Facility | | $5,840.42 | $70,355.30 | $188,397.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $70,355.30 / $147,234.48
| Facility | | $5,840.42 | $70,355.30 | $147,234.48 |