- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $73,586.60 / $111,110.00
| Facility | | $4,804.00 | $73,586.60 | $111,110.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $2,753.00 / $76,863.92
| Facility | | $682.00 | $2,753.00 | $76,863.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,081.70 / $68,278.62 / $129,195.63
| Facility | | $42,081.70 | $68,278.62 | $129,195.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,510.70 / $167,793.83 / $167,793.83
| Facility | | $102,510.70 | $167,793.83 | $167,793.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,111.00 / $61,265.00 / $141,306.50
| Facility | | $43,111.00 | $61,265.00 | $141,306.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $54,893.44 / $125,500.13
| Facility | | $5,257.00 | $54,893.44 | $125,500.13 |