- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $47,554.00 / $84,935.40
| Facility | | $4,804.00 | $47,554.00 | $84,935.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $826.00 / $2,753.00 / $47,912.20
| Facility | | $826.00 | $2,753.00 | $47,912.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,171.71 / $52,193.88 / $98,760.38
| Facility | | $31,171.71 | $52,193.88 | $98,760.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,736.10 / $102,689.09 / $102,689.09
| Facility | | $62,736.10 | $102,689.09 | $102,689.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,394.33 / $38,394.33 / $38,394.33
| Facility | | $38,394.33 | $38,394.33 | $38,394.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,955.00 / $46,832.50 / $108,018.22
| Facility | | $32,955.00 | $46,832.50 | $108,018.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,454.73 / $47,712.95 / $102,450.78
| Facility | | $15,454.73 | $47,712.95 | $102,450.78 |