- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,997.50 / $107,824.00 / $140,780.00
| Facility | | $51,997.50 | $107,824.00 | $140,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $97,193.73 / $263,671.34
| Facility | | $5,840.42 | $97,193.73 | $263,671.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,924.20 / $100,739.49 / $152,218.57
| Facility | | $60,924.20 | $100,739.49 | $152,218.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143,060.44 / $143,060.44 / $143,060.44
| Facility | | $143,060.44 | $143,060.44 | $143,060.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,779.86 / $101,485.96 / $156,718.16
| Facility | | $87,779.86 | $101,485.96 | $156,718.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $97,193.73 / $263,671.34
| Facility | | $5,840.42 | $97,193.73 | $263,671.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $76,575.83 / $206,061.49
| Facility | | $5,840.42 | $76,575.83 | $206,061.49 |