- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,668.00 / $91,916.20 / $132,695.00
| Facility | | $4,668.00 | $91,916.20 | $132,695.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,008.00 / $8,192.64 / $98,800.11
| Facility | | $3,008.00 | $8,192.64 | $98,800.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,427.66 / $80,356.12 / $125,477.00
| Facility | | $44,427.66 | $80,356.12 | $125,477.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,708.00 / $4,708.00 / $4,708.00
| Facility | | $4,708.00 | $4,708.00 | $4,708.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,400.74 / $133,515.32 / $219,766.04
| Facility | | $44,400.74 | $133,515.32 | $219,766.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,715.00 / $90,911.80 / $130,525.00
| Facility | | $4,715.00 | $90,911.80 | $130,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,791.73 / $77,847.96 / $125,288.98
| Facility | | $39,791.73 | $77,847.96 | $125,288.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $45,255.42 / $66,075.58
| Facility | | $2,621.40 | $45,255.42 | $66,075.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,640.00 / $71,322.00 / $124,480.66
| Facility | | $2,640.00 | $71,322.00 | $124,480.66 |