- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $34,172.00 / $66,065.60
| Facility | | $3,406.00 | $34,172.00 | $66,065.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $21,051.34 / $58,172.71
| Facility | | $1,474.01 | $21,051.34 | $58,172.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,659.72 / $40,635.57 / $60,774.24
| Facility | | $27,659.72 | $40,635.57 | $60,774.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,962.28 / $37,629.00 / $75,566.94
| Facility | | $25,962.28 | $37,629.00 | $75,566.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,364.90 / $35,982.15 / $64,871.57
| Facility | | $25,364.90 | $35,982.15 | $64,871.57 |