- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $53,338.60 / $77,209.60
| Facility | | $5,767.00 | $53,338.60 | $77,209.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,935.49 / $40,674.97 / $68,796.23
| Facility | | $14,935.49 | $40,674.97 | $68,796.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,445.14 / $53,822.54 / $96,004.22
| Facility | | $38,445.14 | $53,822.54 | $96,004.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,944.55 / $59,791.12 / $87,299.91
| Facility | | $45,944.55 | $59,791.12 | $87,299.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,944.55 / $55,583.82 / $87,299.91
| Facility | | $45,944.55 | $55,583.82 | $87,299.91 |