- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $48,127.00 / $72,920.10
| Facility | | $5,767.00 | $48,127.00 | $72,920.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,584.35 / $37,584.35 / $37,584.35
| Facility | | $37,584.35 | $37,584.35 | $37,584.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,651.44 / $77,230.07 / $127,368.74
| Facility | | $27,651.44 | $77,230.07 | $127,368.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,309.24 / $48,338.73 / $84,691.50
| Facility | | $36,309.24 | $48,338.73 | $84,691.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,392.00 / $56,469.29 / $82,449.77
| Facility | | $43,392.00 | $56,469.29 | $82,449.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,392.00 / $52,495.73 / $82,449.77
| Facility | | $43,392.00 | $52,495.73 | $82,449.77 |