- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,930.00 / $51,897.30 / $89,546.20
| Facility | | $17,930.00 | $51,897.30 | $89,546.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,153.98 / $50,483.09 / $75,637.96
| Facility | | $31,153.98 | $50,483.09 | $75,637.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,517.44 / $51,222.06 / $91,248.00
| Facility | | $36,517.44 | $51,222.06 | $91,248.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.74 / $534.66 / $852.12
| Facility | | $273.74 | $534.66 | $852.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,808.22 / $55,538.10 / $88,245.94
| Facility | | $32,808.22 | $55,538.10 | $88,245.94 |