- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $64,410.00 / $103,074.00
| Facility | | $4,804.00 | $64,410.00 | $103,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,868.72 / $56,882.67 / $77,112.53
| Facility | | $46,868.72 | $56,882.67 | $77,112.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $2,565.00 / $62,290.19
| Facility | | $650.00 | $2,565.00 | $62,290.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,787.62 / $67,850.39 / $135,305.25
| Facility | | $37,787.62 | $67,850.39 | $135,305.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,973.70 / $139,088.53 / $139,088.53
| Facility | | $84,973.70 | $139,088.53 | $139,088.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,578.46 / $97,498.13 / $400,336.11
| Facility | | $52,578.46 | $97,498.13 | $400,336.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,993.00 / $56,833.75 / $135,305.25
| Facility | | $39,993.00 | $56,833.75 | $135,305.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,473.52 / $56,833.75 / $101,277.74
| Facility | | $19,473.52 | $56,833.75 | $101,277.74 |