- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $27,602.10 / $68,762.60
| Facility | | $4,804.00 | $27,602.10 | $68,762.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,132.45 / $43,132.45 / $43,132.45
| Facility | | $43,132.45 | $43,132.45 | $43,132.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,765.00 / $51,096.32
| Facility | | $687.00 | $2,765.00 | $51,096.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,298.80 / $44,236.00 / $90,265.00
| Facility | | $27,298.80 | $44,236.00 | $90,265.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,105.30 / $101,656.57 / $101,656.57
| Facility | | $62,105.30 | $101,656.57 | $101,656.57 |
- 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
- $27,071.31 / $38,603.00 / $91,181.03
| Facility | | $27,071.31 | $38,603.00 | $91,181.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,559.36 / $33,971.83 / $59,435.55
| Facility | | $14,559.36 | $33,971.83 | $59,435.55 |