- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $48,344.00 / $77,341.00
| Facility | | $4,804.00 | $48,344.00 | $77,341.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,066.86 / $48,066.86 / $48,066.86
| Facility | | $48,066.86 | $48,066.86 | $48,066.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $651.13 / $2,587.00 / $47,383.18
| Facility | | $651.13 | $2,587.00 | $47,383.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,292.80 / $45,524.39 / $89,929.78
| Facility | | $27,292.80 | $45,524.39 | $89,929.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,259.78 / $88,952.55 / $104,393.37
| Facility | | $61,259.78 | $88,952.55 | $104,393.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,998.60 / $41,328.12 / $98,359.84
| Facility | | $28,998.60 | $41,328.12 | $98,359.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,611.88 / $36,449.53 / $75,993.39
| Facility | | $14,611.88 | $36,449.53 | $75,993.39 |