- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,603.00 / $34,758.00 / $75,731.39
| Facility | | $3,603.00 | $34,758.00 | $75,731.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,151.40 / $35,226.92 / $40,732.91
| Facility | | $25,151.40 | $35,226.92 | $40,732.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,990.00 / $49,877.18
| Facility | | $688.00 | $2,990.00 | $49,877.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,062.06 / $45,241.75 / $88,058.22
| Facility | | $30,062.06 | $45,241.75 | $88,058.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,785.58 / $92,620.15 / $108,697.61
| Facility | | $63,785.58 | $92,620.15 | $108,697.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,510.86 / $41,757.50 / $96,312.84
| Facility | | $29,510.86 | $41,757.50 | $96,312.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,307.79 / $37,414.72 / $74,411.87
| Facility | | $14,307.79 | $37,414.72 | $74,411.87 |