- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $77,713.00 / $123,644.00
| Facility | | $4,804.00 | $77,713.00 | $123,644.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $2,753.00 / $74,708.39
| Facility | | $682.00 | $2,753.00 | $74,708.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,359.85 / $73,864.88 / $143,770.07
| Facility | | $46,359.85 | $73,864.88 | $143,770.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,522.10 / $167,812.49 / $167,812.49
| Facility | | $102,522.10 | $167,812.49 | $167,812.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,974.00 / $68,176.25 / $157,247.16
| Facility | | $47,974.00 | $68,176.25 | $157,247.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $61,085.92 / $139,657.68
| Facility | | $5,257.00 | $61,085.92 | $139,657.68 |