- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $34,086.00 / $52,041.30
| Facility | | $4,804.00 | $34,086.00 | $52,041.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,461.97 / $24,461.97 / $24,461.97
| Facility | | $24,461.97 | $24,461.97 | $24,461.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $36,226.24
| Facility | | $688.00 | $3,030.00 | $36,226.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,710.02 / $31,980.00 / $60,512.02
| Facility | | $19,710.02 | $31,980.00 | $60,512.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,969.20 / $73,607.48 / $73,607.48
| Facility | | $44,969.20 | $73,607.48 | $73,607.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,200.00 / $11,200.00 / $11,200.00
| Facility | | $11,200.00 | $11,200.00 | $11,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,270.15 / $28,541.00 / $66,184.44
| Facility | | $20,270.15 | $28,541.00 | $66,184.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $25,710.72 / $58,542.39
| Facility | | $5,257.00 | $25,710.72 | $58,542.39 |