- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $67,394.00 / $103,937.00
| Facility | | $4,804.00 | $67,394.00 | $103,937.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $2,753.00 / $65,222.08
| Facility | | $682.00 | $2,753.00 | $65,222.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,094.08 / $68,001.75 / $124,743.24
| Facility | | $40,094.08 | $68,001.75 | $124,743.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,910.50 / $145,532.45 / $145,532.45
| Facility | | $88,910.50 | $145,532.45 | $145,532.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140,287.90 / $140,287.90 / $246,691.17
| Facility | | $140,287.90 | $140,287.90 | $246,691.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,483.78 / $57,310.00 / $136,439.06
| Facility | | $40,483.78 | $57,310.00 | $136,439.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $51,349.76 / $117,398.39
| Facility | | $5,257.00 | $51,349.76 | $117,398.39 |