- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,467.00 / $31,034.00 / $93,310.20
| Facility | | $9,467.00 | $31,034.00 | $93,310.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,241.00 / $46,227.00 / $130,966.24
| Facility | | $11,241.00 | $46,227.00 | $130,966.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $54,045.10 / $123,257.89
| Facility | | $100.00 | $54,045.10 | $123,257.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,948.00 / $68,372.13 / $139,280.95
| Facility | | $11,948.00 | $68,372.13 | $139,280.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,573.68 / $129,500.20 / $151,979.48
| Facility | | $61,573.68 | $129,500.20 | $151,979.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,000.00 / $59,270.82 / $139,317.45
| Facility | | $11,000.00 | $59,270.82 | $139,317.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,974.00 / $60,573.00 / $122,555.19
| Facility | | $6,974.00 | $60,573.00 | $122,555.19 |