- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $30,762.00 / $47,285.10
| Facility | | $4,804.00 | $30,762.00 | $47,285.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,345.37 / $26,345.37 / $26,345.37
| Facility | | $26,345.37 | $26,345.37 | $26,345.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $31,951.42
| Facility | | $687.00 | $2,767.00 | $31,951.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,240.32 / $31,287.00 / $57,271.90
| Facility | | $18,240.32 | $31,287.00 | $57,271.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,582.10 / $66,426.49 / $66,426.49
| Facility | | $40,582.10 | $66,426.49 | $66,426.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407,403.52 / $407,403.52 / $407,403.52
| Facility | | $407,403.52 | $407,403.52 | $407,403.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,417.61 / $26,427.09 / $62,701.23
| Facility | | $18,417.61 | $26,427.09 | $62,701.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,360.96 / $53,408.99
| Facility | | $5,257.00 | $23,360.96 | $53,408.99 |