- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,194.00 / $47,415.70 / $87,307.30
| Facility | | $5,194.00 | $47,415.70 | $87,307.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,466.36 / $28,466.36 / $39,761.51
| Facility | | $28,466.36 | $28,466.36 | $39,761.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $41,305.96 / $86,551.83
| Facility | | $5,939.30 | $41,305.96 | $86,551.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,466.47 / $53,215.00 / $82,169.00
| Facility | | $33,466.47 | $53,215.00 | $82,169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $51,069.14 / $88,334.03
| Facility | | $3,496.00 | $51,069.14 | $88,334.03 |