- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $59,189.00 / $95,529.10
| Facility | | $4,804.00 | $59,189.00 | $95,529.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,505.04 / $28,505.04 / $45,667.25
| Facility | | $28,505.04 | $28,505.04 | $45,667.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $651.13 / $2,587.00 / $56,291.93
| Facility | | $651.13 | $2,587.00 | $56,291.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,225.58 / $67,599.38 / $125,401.45
| Facility | | $37,225.58 | $67,599.38 | $125,401.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,086.20 / $127,814.78 / $127,814.78
| Facility | | $78,086.20 | $127,814.78 | $127,814.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142,573.97 / $142,573.97 / $152,873.57
| Facility | | $142,573.97 | $142,573.97 | $152,873.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,347.56 / $23,029.62 / $52,366.14
| Facility | | $16,347.56 | $23,029.62 | $52,366.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,208.74 / $52,673.75 / $125,401.45
| Facility | | $37,208.74 | $52,673.75 | $125,401.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,589.00 / $51,830.97 / $106,645.38
| Facility | | $14,589.00 | $51,830.97 | $106,645.38 |