- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $60,910.00 / $96,694.30
| Facility | | $4,804.00 | $60,910.00 | $96,694.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $825.00 / $2,690.00 / $60,976.61
| Facility | | $825.00 | $2,690.00 | $60,976.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,487.30 / $59,419.89 / $112,433.31
| Facility | | $35,487.30 | $59,419.89 | $112,433.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,354.80 / $131,528.12 / $131,528.12
| Facility | | $80,354.80 | $131,528.12 | $131,528.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $216,010.96 / $216,010.96 / $216,010.96
| Facility | | $216,010.96 | $216,010.96 | $216,010.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,518.00 / $53,316.25 / $122,972.86
| Facility | | $37,518.00 | $53,316.25 | $122,972.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $47,771.36 / $109,217.27
| Facility | | $5,257.00 | $47,771.36 | $109,217.27 |