- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $63,716.90 / $105,785.00
| Facility | | $3,182.00 | $63,716.90 | $105,785.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $41,735.54 / $88,202.54
| Facility | | $1,474.01 | $41,735.54 | $88,202.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,289.11 / $65,066.22 / $97,312.54
| Facility | | $44,289.11 | $65,066.22 | $97,312.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,571.15 / $56,211.18 / $118,993.99
| Facility | | $41,571.15 | $56,211.18 | $118,993.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,030.99 / $57,615.10 / $122,561.14
| Facility | | $39,030.99 | $57,615.10 | $122,561.14 |