- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $46,373.70 / $69,703.50
| Facility | | $8,802.00 | $46,373.70 | $69,703.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,736.02 / $40,249.61 / $91,977.82
| Facility | | $30,736.02 | $40,249.61 | $91,977.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $36,181.25 / $72,900.00
| Facility | | $100.00 | $36,181.25 | $72,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,636.01 / $55,002.68 / $94,635.58
| Facility | | $36,636.01 | $55,002.68 | $94,635.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $69,337.25 / $81,373.14
| Facility | | $48,537.00 | $69,337.25 | $81,373.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,569.27 / $45,842.31 / $88,434.26
| Facility | | $30,569.27 | $45,842.31 | $88,434.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $41,769.24 / $85,512.97
| Facility | | $5,693.00 | $41,769.24 | $85,512.97 |