- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $68,476.00 / $106,363.00
| Facility | | $4,804.00 | $68,476.00 | $106,363.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,942.04 / $47,310.49 / $49,613.42
| Facility | | $38,942.04 | $47,310.49 | $49,613.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,771.00 / $67,617.07
| Facility | | $687.00 | $2,771.00 | $67,617.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,283.79 / $66,154.00 / $123,675.85
| Facility | | $40,283.79 | $66,154.00 | $123,675.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,324.10 / $147,846.29 / $147,846.29
| Facility | | $90,324.10 | $147,846.29 | $147,846.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,428.58 / $58,647.50 / $135,269.29
| Facility | | $41,428.58 | $58,647.50 | $135,269.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $52,548.16 / $120,138.23
| Facility | | $5,257.00 | $52,548.16 | $120,138.23 |