- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $46,818.00 / $70,757.60
| Facility | | $4,804.00 | $46,818.00 | $70,757.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,990.00 / $47,030.02
| Facility | | $688.00 | $2,990.00 | $47,030.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,798.62 / $44,009.00 / $82,274.83
| Facility | | $26,798.62 | $44,009.00 | $82,274.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,238.40 / $106,784.96 / $106,784.96
| Facility | | $65,238.40 | $106,784.96 | $106,784.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,560.20 / $39,015.00 / $89,987.32
| Facility | | $27,560.20 | $39,015.00 | $89,987.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $34,957.44 / $79,921.45
| Facility | | $5,257.00 | $34,957.44 | $79,921.45 |