- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.00 / $16,733.00 / $87,413.00
| Facility | | $1,078.00 | $16,733.00 | $87,413.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,172.94 / $48,740.35 / $62,092.80
| Facility | | $43,172.94 | $48,740.35 | $62,092.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $48,686.42 / $75,113.56
| Facility | | $2,200.00 | $48,686.42 | $75,113.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,639.74 / $61,282.14 / $82,867.03
| Facility | | $40,639.74 | $61,282.14 | $82,867.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,205.53 / $68,038.67 / $98,244.12
| Facility | | $45,205.53 | $68,038.67 | $98,244.12 |