- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $39,339.00 / $61,349.60
| Facility | | $4,804.00 | $39,339.00 | $61,349.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,676.80 / $33,676.80 / $33,676.80
| Facility | | $33,676.80 | $33,676.80 | $33,676.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,914.00 / $39,410.93
| Facility | | $688.00 | $2,914.00 | $39,410.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,234.00 / $36,111.53 / $64,310.14
| Facility | | $20,234.00 | $36,111.53 | $64,310.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,898.50 / $84,949.65 / $84,949.65
| Facility | | $51,898.50 | $84,949.65 | $84,949.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,804.00 / $33,448.62 / $65,430.50
| Facility | | $23,804.00 | $33,448.62 | $65,430.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,263.00 / $30,309.44 / $54,933.15
| Facility | | $12,263.00 | $30,309.44 | $54,933.15 |