- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,133.00 / $54,133.40 / $147,553.00
| Facility | | $2,133.00 | $54,133.40 | $147,553.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,026.00 / $21,026.00 / $21,026.00
| Facility | | $21,026.00 | $21,026.00 | $21,026.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,873.24 / $41,143.64 / $90,059.54
| Facility | | $27,873.24 | $41,143.64 | $90,059.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,253.00 / $70,644.44 / $97,758.69
| Facility | | $5,253.00 | $70,644.44 | $97,758.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157,537.20 / $157,537.20 / $184,883.28
| Facility | | $157,537.20 | $157,537.20 | $184,883.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,572.00 / $7,904.00 / $103,898.32
| Facility | | $1,572.00 | $7,904.00 | $103,898.32 |