- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,365.00 / $57,063.60 / $127,099.00
| Facility | | $13,365.00 | $57,063.60 | $127,099.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,719.90 / $91,588.08 / $118,761.54
| Facility | | $61,719.90 | $91,588.08 | $118,761.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $73,746.02 / $117,912.11
| Facility | | $17,646.00 | $73,746.02 | $117,912.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,345.26 / $79,445.91 / $166,600.57
| Facility | | $41,345.26 | $79,445.91 | $166,600.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,222.07 / $30,222.07 / $30,222.07
| Facility | | $30,222.07 | $30,222.07 | $30,222.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $78,921.27 / $117,941.22
| Facility | | $17,648.00 | $78,921.27 | $117,941.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $52,806.51 / $101,436.76
| Facility | | $5,281.00 | $52,806.51 | $101,436.76 |