- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,638.10 / $105,005.00 / $137,099.00
| Facility | | $50,638.10 | $105,005.00 | $137,099.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $95,891.25 / $256,778.00
| Facility | | $5,840.42 | $95,891.25 | $256,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,331.42 / $98,105.78 / $148,239.01
| Facility | | $59,331.42 | $98,105.78 | $148,239.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139,320.31 / $139,320.31 / $139,320.31
| Facility | | $139,320.31 | $139,320.31 | $139,320.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,484.97 / $98,832.74 / $152,620.95
| Facility | | $85,484.97 | $98,832.74 | $152,620.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $95,891.25 / $256,778.00
| Facility | | $5,840.42 | $95,891.25 | $256,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $95,891.25 / $200,674.28
| Facility | | $5,840.42 | $95,891.25 | $200,674.28 |