- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $51,480.20 / $101,235.00
| Facility | | $5,767.00 | $51,480.20 | $101,235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,254.55 / $116,726.26 / $197,426.74
| Facility | | $43,254.55 | $116,726.26 | $197,426.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,105.68 / $51,947.31 / $92,659.34
| Facility | | $37,105.68 | $51,947.31 | $92,659.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,343.79 / $57,707.94 / $84,258.29
| Facility | | $44,343.79 | $57,707.94 | $84,258.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,343.79 / $53,647.22 / $84,258.29
| Facility | | $44,343.79 | $53,647.22 | $84,258.29 |