- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $37,682.00 / $61,150.10
| Facility | | $4,804.00 | $37,682.00 | $61,150.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,734.56 / $33,734.56 / $33,734.56
| Facility | | $33,734.56 | $33,734.56 | $33,734.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $38,058.76
| Facility | | $688.00 | $3,027.00 | $38,058.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,276.60 / $37,577.48 / $71,103.46
| Facility | | $24,276.60 | $37,577.48 | $71,103.46 |
- 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
- $24,074.30 / $33,717.50 / $77,768.74
| Facility | | $24,074.30 | $33,717.50 | $77,768.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $30,210.88 / $69,069.62
| Facility | | $5,257.00 | $30,210.88 | $69,069.62 |