- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $93,154.00 / $145,875.00
| Facility | | $4,804.00 | $93,154.00 | $145,875.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $2,753.00 / $90,075.16
| Facility | | $682.00 | $2,753.00 | $90,075.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,248.33 / $87,145.14 / $155,578.18
| Facility | | $55,248.33 | $87,145.14 | $155,578.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,876.80 / $171,380.80 / $201,129.92
| Facility | | $122,876.80 | $171,380.80 | $201,129.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,557.42 / $103,500.00 / $519,242.28
| Facility | | $89,557.42 | $103,500.00 | $519,242.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,600.00 / $80,433.75 / $155,578.18
| Facility | | $56,600.00 | $80,433.75 | $155,578.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $72,068.64 / $164,766.93
| Facility | | $5,257.00 | $72,068.64 | $164,766.93 |