- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,194.00 / $58,773.10 / $116,118.00
| Facility | | $5,194.00 | $58,773.10 | $116,118.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,674.81 / $38,674.81 / $46,147.16
| Facility | | $38,674.81 | $38,674.81 | $46,147.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,319.47 / $43,182.69 / $111,392.71
| Facility | | $6,319.47 | $43,182.69 | $111,392.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,782.98 / $60,900.96 / $103,672.80
| Facility | | $37,782.98 | $60,900.96 | $103,672.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $73,417.10 / $117,483.27
| Facility | | $3,535.00 | $73,417.10 | $117,483.27 |