- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $67,289.80 / $101,602.00
| Facility | | $4,804.00 | $67,289.80 | $101,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,752.67 / $68,752.67 / $73,446.37
| Facility | | $68,752.67 | $68,752.67 | $73,446.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,771.00 / $70,244.21
| Facility | | $687.00 | $2,771.00 | $70,244.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,193.33 / $66,617.00 / $118,140.25
| Facility | | $39,193.33 | $66,617.00 | $118,140.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,574.80 / $143,346.12 / $143,346.12
| Facility | | $87,574.80 | $143,346.12 | $143,346.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,592.22 / $56,022.50 / $129,214.78
| Facility | | $39,592.22 | $56,022.50 | $129,214.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $50,196.16 / $114,760.97
| Facility | | $5,257.00 | $50,196.16 | $114,760.97 |