- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.00 / $25,268.00 / $60,768.20
| Facility | | $8,128.00 | $25,268.00 | $60,768.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,776.00 / $39,013.48 / $92,450.16
| Facility | | $19,776.00 | $39,013.48 | $92,450.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.70 / $34,839.67 / $74,392.46
| Facility | | $91.70 | $34,839.67 | $74,392.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,445.00 / $52,072.83 / $92,025.00
| Facility | | $22,445.00 | $52,072.83 | $92,025.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,192.00 / $51,803.50 / $84,794.15
| Facility | | $29,192.00 | $51,803.50 | $84,794.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,403.00 / $40,254.00 / $92,025.00
| Facility | | $19,403.00 | $40,254.00 | $92,025.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,974.00 / $33,624.00 / $76,744.20
| Facility | | $6,974.00 | $33,624.00 | $76,744.20 |