- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $49,529.00 / $78,315.80
| Facility | | $4,804.00 | $49,529.00 | $78,315.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,990.00 / $50,006.50
| Facility | | $688.00 | $2,990.00 | $50,006.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,636.80 / $46,098.18 / $91,063.26
| Facility | | $27,636.80 | $46,098.18 | $91,063.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,341.00 / $106,952.90 / $106,952.90
| Facility | | $65,341.00 | $106,952.90 | $106,952.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,066.52 / $41,849.01 / $99,599.57
| Facility | | $30,066.52 | $41,849.01 | $99,599.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $38,691.51 / $88,458.49
| Facility | | $5,257.00 | $38,691.51 | $88,458.49 |