- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,032.00 / $52,314.30 / $86,764.90
| Facility | | $34,032.00 | $52,314.30 | $86,764.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,190.31 / $43,920.34 / $73,964.09
| Facility | | $20,190.31 | $43,920.34 | $73,964.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,851.50 / $55,741.90 / $99,771.77
| Facility | | $42,851.50 | $55,741.90 | $99,771.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.00 / $52,874.38 / $89,708.57
| Facility | | $9,240.00 | $52,874.38 | $89,708.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $50,522.12 / $75,093.17
| Facility | | $9,226.00 | $50,522.12 | $75,093.17 |