- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,462.00 / $20,555.20 / $63,545.30
| Facility | | $4,462.00 | $20,555.20 | $63,545.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,885.04 / $30,885.04 / $30,885.04
| Facility | | $30,885.04 | $30,885.04 | $30,885.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $2,771.00 / $56,365.53
| Facility | | $675.00 | $2,771.00 | $56,365.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,413.10 / $49,549.12 / $98,515.23
| Facility | | $27,413.10 | $49,549.12 | $98,515.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,096.00 / $111,462.40 / $111,462.40
| Facility | | $68,096.00 | $111,462.40 | $111,462.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,767.05 / $45,273.65 / $107,750.10
| Facility | | $31,767.05 | $45,273.65 | $107,750.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,717.00 / $32,888.24 / $74,925.39
| Facility | | $10,717.00 | $32,888.24 | $74,925.39 |