- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,390.00 / $62,339.70 / $114,224.00
| Facility | | $18,390.00 | $62,339.70 | $114,224.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,376.34 / $102,949.71 / $133,494.07
| Facility | | $69,376.34 | $102,949.71 | $133,494.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $82,338.20 / $131,650.10
| Facility | | $17,646.00 | $82,338.20 | $131,650.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,162.42 / $88,702.20 / $186,011.31
| Facility | | $46,162.42 | $88,702.20 | $186,011.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,764.60 / $31,764.60 / $31,764.60
| Facility | | $31,764.60 | $31,764.60 | $31,764.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $88,116.43 / $131,682.62
| Facility | | $17,648.00 | $88,116.43 | $131,682.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $58,959.02 / $113,255.21
| Facility | | $5,281.00 | $58,959.02 | $113,255.21 |