- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $52,813.00 / $116,351.00
| Facility | | $3,406.00 | $52,813.00 | $116,351.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $37,182.74 / $102,256.17
| Facility | | $1,474.01 | $37,182.74 | $102,256.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,712.59 / $71,564.86 / $107,031.86
| Facility | | $48,712.59 | $71,564.86 | $107,031.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,629.00 / $61,621.12 / $133,083.85
| Facility | | $37,629.00 | $61,621.12 | $133,083.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,629.00 / $61,621.12 / $114,247.82
| Facility | | $37,629.00 | $61,621.12 | $114,247.82 |