- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $63,007.80 / $95,136.90
| Facility | | $4,804.00 | $63,007.80 | $95,136.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,870.00 / $62,933.44
| Facility | | $687.00 | $2,870.00 | $62,933.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,671.10 / $58,462.83 / $110,622.38
| Facility | | $35,671.10 | $58,462.83 | $110,622.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,179.50 / $137,788.54 / $137,788.54
| Facility | | $84,179.50 | $137,788.54 | $137,788.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,055.98 / $51,869.98 / $120,992.17
| Facility | | $37,055.98 | $51,869.98 | $120,992.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,081.00 / $47,001.92 / $107,021.69
| Facility | | $7,081.00 | $47,001.92 | $107,021.69 |