- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,559.00 / $21,267.00 / $55,307.40
| Facility | | $4,559.00 | $21,267.00 | $55,307.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $2,753.00 / $51,501.11
| Facility | | $682.00 | $2,753.00 | $51,501.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,445.74 / $43,125.62 / $84,065.36
| Facility | | $28,445.74 | $43,125.62 | $84,065.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,163.15 / $90,264.30 / $105,932.82
| Facility | | $62,163.15 | $90,264.30 | $105,932.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,909.59 / $82,909.59 / $82,909.59
| Facility | | $82,909.59 | $82,909.59 | $82,909.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,735.24 / $39,789.00 / $93,781.48
| Facility | | $28,735.24 | $39,789.00 | $93,781.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,158.00 / $26,380.21 / $62,577.37
| Facility | | $9,158.00 | $26,380.21 | $62,577.37 |