- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $30,758.00 / $48,309.80
| Facility | | $4,804.00 | $30,758.00 | $48,309.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,690.00 / $30,161.82
| Facility | | $652.00 | $2,690.00 | $30,161.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,113.50 / $30,047.00 / $57,980.25
| Facility | | $18,113.50 | $30,047.00 | $57,980.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,576.40 / $66,417.16 / $66,417.16
| Facility | | $40,576.40 | $66,417.16 | $66,417.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229,016.63 / $229,016.63 / $229,016.63
| Facility | | $229,016.63 | $229,016.63 | $229,016.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,816.73 / $26,637.50 / $61,438.86
| Facility | | $18,816.73 | $26,637.50 | $61,438.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,127.07 / $27,743.49 / $53,931.35
| Facility | | $9,127.07 | $27,743.49 | $53,931.35 |