- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,602.93 / $26,055.00 / $82,212.00
| Facility | | $10,602.93 | $26,055.00 | $82,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,934.00 / $46,227.00 / $97,916.07
| Facility | | $11,934.00 | $46,227.00 | $97,916.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $37,285.76 / $87,214.21
| Facility | | $100.00 | $37,285.76 | $87,214.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,644.00 / $67,278.00 / $116,079.09
| Facility | | $30,644.00 | $67,278.00 | $116,079.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,101.40 / $94,530.80 / $110,939.92
| Facility | | $65,101.40 | $94,530.80 | $110,939.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,234.00 / $60,228.56 / $116,079.09
| Facility | | $34,234.00 | $60,228.56 | $116,079.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,974.00 / $44,203.55 / $108,690.73
| Facility | | $6,974.00 | $44,203.55 | $108,690.73 |