- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $64,495.90 / $98,164.10
| Facility | | $3,333.00 | $64,495.90 | $98,164.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,079.51 / $64,946.35 / $97,308.02
| Facility | | $40,079.51 | $64,946.35 | $97,308.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,972.27 / $64,848.03 / $117,372.00
| Facility | | $46,972.27 | $64,848.03 | $117,372.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.12 / $687.74 / $1,168.44
| Facility | | $352.12 | $687.74 | $1,168.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,495.00 / $70,235.39 / $113,510.46
| Facility | | $44,495.00 | $70,235.39 | $113,510.46 |