- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $83,853.00 / $132,955.00
| Facility | | $4,804.00 | $83,853.00 | $132,955.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $2,753.00 / $83,204.49
| Facility | | $675.00 | $2,753.00 | $83,204.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,287.68 / $87,807.79 / $159,569.48
| Facility | | $51,287.68 | $87,807.79 | $159,569.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,623.70 / $181,073.53 / $181,073.53
| Facility | | $110,623.70 | $181,073.53 | $181,073.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,786.18 / $74,307.02 / $174,530.58
| Facility | | $51,786.18 | $74,307.02 | $174,530.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $65,685.75 / $150,174.07
| Facility | | $5,257.00 | $65,685.75 | $150,174.07 |