- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,974.00 / $86,045.20 / $194,841.00
| Facility | | $4,974.00 | $86,045.20 | $194,841.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,129.20 / $142,967.16 / $183,772.76
| Facility | | $93,129.20 | $142,967.16 | $183,772.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,777.80 / $122,658.92 / $180,056.42
| Facility | | $85,777.80 | $122,658.92 | $180,056.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,120.25 / $121,287.08 / $254,342.84
| Facility | | $63,120.25 | $121,287.08 | $254,342.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,789.93 / $45,504.48 / $49,134.93
| Facility | | $29,789.93 | $45,504.48 | $49,134.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,777.80 / $133,546.16 / $181,049.08
| Facility | | $85,777.80 | $133,546.16 | $181,049.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $110,046.82 / $167,976.60
| Facility | | $9,114.00 | $110,046.82 | $167,976.60 |