- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,401.85 / $90,246.40 / $153,586.00
| Facility | | $6,401.85 | $90,246.40 | $153,586.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,836.00 / $84,552.89 / $165,752.91
| Facility | | $10,836.00 | $84,552.89 | $165,752.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $1,635.00 / $12,493.12
| Facility | | $100.00 | $1,635.00 | $12,493.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,967.28 / $100,676.95 / $210,340.47
| Facility | | $72,967.28 | $100,676.95 | $210,340.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,492.60 / $157,537.20 / $184,883.28
| Facility | | $108,492.60 | $157,537.20 | $184,883.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,652.57 / $82,745.41 / $184,474.35
| Facility | | $67,652.57 | $82,745.41 | $184,474.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,990.00 / $9,049.00 / $154,489.40
| Facility | | $3,990.00 | $9,049.00 | $154,489.40 |