- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $38,165.00 / $65,330.40
| Facility | | $4,804.00 | $38,165.00 | $65,330.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,582.14 / $27,582.14 / $27,582.14
| Facility | | $27,582.14 | $27,582.14 | $27,582.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $39,691.69
| Facility | | $688.00 | $3,027.00 | $39,691.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,495.30 / $40,633.00 / $75,964.25
| Facility | | $24,495.30 | $40,633.00 | $75,964.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,350.00 / $82,415.00 / $82,415.00
| Facility | | $50,350.00 | $82,415.00 | $82,415.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,348.00 / $36,022.50 / $83,085.17
| Facility | | $25,348.00 | $36,022.50 | $83,085.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $32,276.16 / $73,491.66
| Facility | | $5,257.00 | $32,276.16 | $73,491.66 |