- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $58,578.00 / $94,148.50
| Facility | | $4,804.00 | $58,578.00 | $94,148.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,910.00 / $58,916.54
| Facility | | $688.00 | $2,910.00 | $58,916.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,552.96 / $57,855.44 / $109,473.08
| Facility | | $34,552.96 | $57,855.44 | $109,473.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,280.60 / $126,496.14 / $126,496.14
| Facility | | $77,280.60 | $126,496.14 | $126,496.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,183.45 / $128,183.45 / $128,183.45
| Facility | | $128,183.45 | $128,183.45 | $128,183.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,530.00 / $51,331.08 / $119,735.14
| Facility | | $36,530.00 | $51,331.08 | $119,735.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $46,513.60 / $106,341.72
| Facility | | $5,257.00 | $46,513.60 | $106,341.72 |