- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $50,426.00 / $80,832.10
| Facility | | $4,804.00 | $50,426.00 | $80,832.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,688.58 / $45,688.58 / $45,688.58
| Facility | | $45,688.58 | $45,688.58 | $45,688.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,910.00 / $52,822.07
| Facility | | $688.00 | $2,910.00 | $52,822.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,614.24 / $50,275.00 / $93,989.22
| Facility | | $30,614.24 | $50,275.00 | $93,989.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,524.70 / $108,890.43 / $108,890.43
| Facility | | $66,524.70 | $108,890.43 | $108,890.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,474.47 / $76,474.47 / $76,474.47
| Facility | | $76,474.47 | $76,474.47 | $76,474.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,484.25 / $44,570.00 / $102,799.81
| Facility | | $31,484.25 | $44,570.00 | $102,799.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,905.84 / $35,941.25 / $90,238.20
| Facility | | $13,905.84 | $35,941.25 | $90,238.20 |