- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,559.00 / $27,207.00 / $47,036.00
| Facility | | $4,559.00 | $27,207.00 | $47,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,759.00 / $37,344.87
| Facility | | $687.00 | $2,759.00 | $37,344.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,770.05 / $45,642.00 / $83,772.14
| Facility | | $25,770.05 | $45,642.00 | $83,772.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,803.50 / $84,794.15 / $84,794.15
| Facility | | $51,803.50 | $84,794.15 | $84,794.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,600.00 / $17,600.00 / $18,550.00
| Facility | | $17,600.00 | $17,600.00 | $18,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,770.05 / $38,529.47 / $91,724.04
| Facility | | $25,770.05 | $38,529.47 | $91,724.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,859.52 / $27,716.15 / $56,578.60
| Facility | | $13,859.52 | $27,716.15 | $56,578.60 |