- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $11,481.54 / $89,125.09
| Facility | | $741.31 | $11,481.54 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $1,000.00 / $147,910.84
| Facility | | $616.60 | $1,000.00 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $758.58 / $794.33
| Facility | | $660.69 | $758.58 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $549.54 / $549.54
| Facility | | $549.54 | $549.54 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $93,325.43 / $177,827.94
| Facility | | $66,069.34 | $93,325.43 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $109,647.82 / $186,208.71
| Facility | | $33,884.42 | $109,647.82 | $186,208.71 |