- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,620.00 / $34,597.40 / $64,963.00
| Facility | | $9,620.00 | $34,597.40 | $64,963.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,425.18 / $41,974.59 / $78,113.96
| Facility | | $24,425.18 | $41,974.59 | $78,113.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,233.01 / $78,504.75
| Facility | | $100.00 | $40,233.01 | $78,504.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,151.00 / $54,384.55 / $94,099.51
| Facility | | $24,151.00 | $54,384.55 | $94,099.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,193.27 / $77,239.55 / $90,647.17
| Facility | | $53,193.27 | $77,239.55 | $90,647.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,268.26 / $48,187.79 / $92,081.76
| Facility | | $33,268.26 | $48,187.79 | $92,081.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $44,445.05 / $87,630.08
| Facility | | $5,760.00 | $44,445.05 | $87,630.08 |