- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $40,103.50 / $88,350.90
| Facility | | $3,182.00 | $40,103.50 | $88,350.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $36,994.51 / $80,199.88
| Facility | | $1,474.01 | $36,994.51 | $80,199.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,989.89 / $54,342.75 / $81,274.59
| Facility | | $36,989.89 | $54,342.75 | $81,274.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,719.86 / $58,708.96 / $101,057.16
| Facility | | $34,719.86 | $58,708.96 | $101,057.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,719.86 / $58,708.96 / $86,754.04
| Facility | | $34,719.86 | $58,708.96 | $86,754.04 |