- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $36,392.00 / $56,260.10
| Facility | | $4,804.00 | $36,392.00 | $56,260.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,447.25 / $30,966.39 / $32,687.25
| Facility | | $23,447.25 | $30,966.39 | $32,687.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,990.00 / $36,560.28
| Facility | | $688.00 | $2,990.00 | $36,560.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,307.88 / $34,572.56 / $60,002.54
| Facility | | $21,307.88 | $34,572.56 | $60,002.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,011.10 / $78,586.59 / $78,586.59
| Facility | | $48,011.10 | $78,586.59 | $78,586.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,352.35 / $82,352.35 / $82,352.35
| Facility | | $82,352.35 | $82,352.35 | $82,352.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,913.41 / $31,021.25 / $60,002.54
| Facility | | $21,913.41 | $31,021.25 | $60,002.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,237.01 / $31,604.45 / $67,862.09
| Facility | | $10,237.01 | $31,604.45 | $67,862.09 |