- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,960.20 / $111,894.00 / $146,094.00
| Facility | | $53,960.20 | $111,894.00 | $146,094.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $102,182.28 / $273,624.15
| Facility | | $5,840.42 | $102,182.28 | $273,624.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,223.91 / $104,542.10 / $157,964.37
| Facility | | $63,223.91 | $104,542.10 | $157,964.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148,460.54 / $148,460.54 / $148,460.54
| Facility | | $148,460.54 | $148,460.54 | $148,460.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,093.29 / $105,316.75 / $162,633.79
| Facility | | $91,093.29 | $105,316.75 | $162,633.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $102,182.28 / $273,624.15
| Facility | | $5,840.42 | $102,182.28 | $273,624.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $102,182.28 / $213,839.71
| Facility | | $5,840.42 | $102,182.28 | $213,839.71 |