- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,050.50 / $95,492.30 / $124,679.00
| Facility | | $46,050.50 | $95,492.30 | $124,679.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $87,204.04 / $233,515.35
| Facility | | $5,840.42 | $87,204.04 | $233,515.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,956.32 / $89,217.95 / $134,809.39
| Facility | | $53,956.32 | $89,217.95 | $134,809.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126,698.67 / $126,698.67 / $126,698.67
| Facility | | $126,698.67 | $126,698.67 | $126,698.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,740.50 / $89,879.05 / $138,794.35
| Facility | | $77,740.50 | $89,879.05 | $138,794.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $87,204.04 / $233,515.35
| Facility | | $5,840.42 | $87,204.04 | $233,515.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $87,204.04 / $182,494.32
| Facility | | $5,840.42 | $87,204.04 | $182,494.32 |