- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $45,804.00 / $73,015.50
| Facility | | $4,804.00 | $45,804.00 | $73,015.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $1,262.00 / $2,426.00
| Facility | | $500.00 | $1,262.00 | $2,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,376.80 / $40,337.30 / $83,238.36
| Facility | | $27,376.80 | $40,337.30 | $83,238.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,427.60 / $98,910.44 / $98,910.44
| Facility | | $60,427.60 | $98,910.44 | $98,910.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,532.59 / $24,532.59 / $24,532.59
| Facility | | $24,532.59 | $24,532.59 | $24,532.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,330.00 / $40,260.00 / $92,858.88
| Facility | | $28,330.00 | $40,260.00 | $92,858.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,081.00 / $36,072.96 / $82,136.84
| Facility | | $7,081.00 | $36,072.96 | $82,136.84 |