- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $66,323.00 / $176,396.00
| Facility | | $4,804.00 | $66,323.00 | $176,396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130,917.61 / $130,917.61 / $130,917.61
| Facility | | $130,917.61 | $130,917.61 | $130,917.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $2,753.00 / $136,775.65
| Facility | | $675.00 | $2,753.00 | $136,775.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,815.42 / $118,488.00 / $242,278.43
| Facility | | $64,815.42 | $118,488.00 | $242,278.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160,914.79 / $263,392.12 / $263,392.12
| Facility | | $160,914.79 | $263,392.12 | $263,392.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,428.89 / $105,042.50 / $250,076.78
| Facility | | $71,428.89 | $105,042.50 | $250,076.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,008.00 / $74,178.72 / $179,622.68
| Facility | | $20,008.00 | $74,178.72 | $179,622.68 |