- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $47,661.00 / $73,455.10
| Facility | | $4,804.00 | $47,661.00 | $73,455.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,910.00 / $59,084.32
| Facility | | $688.00 | $2,910.00 | $59,084.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,281.16 / $46,320.14 / $86,450.70
| Facility | | $27,281.16 | $46,320.14 | $86,450.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,077.60 / $109,795.44 / $109,795.44
| Facility | | $67,077.60 | $109,795.44 | $109,795.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,069.15 / $41,480.96 / $91,607.62
| Facility | | $28,069.15 | $41,480.96 | $91,607.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,081.00 / $35,663.14 / $81,030.05
| Facility | | $7,081.00 | $35,663.14 | $81,030.05 |