- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $49,902.00 / $78,696.60
| Facility | | $4,804.00 | $49,902.00 | $78,696.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,280.06 / $49,280.06 / $49,280.06
| Facility | | $49,280.06 | $49,280.06 | $49,280.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,914.00 / $49,754.29
| Facility | | $688.00 | $2,914.00 | $49,754.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,506.90 / $48,360.07 / $91,506.10
| Facility | | $29,506.90 | $48,360.07 | $91,506.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,833.10 / $107,758.39 / $107,758.39
| Facility | | $65,833.10 | $107,758.39 | $107,758.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,534.00 / $42,906.50 / $100,083.93
| Facility | | $30,534.00 | $42,906.50 | $100,083.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,538.46 / $34,991.71 / $87,854.19
| Facility | | $13,538.46 | $34,991.71 | $87,854.19 |