- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $29,363.90 / $64,690.70
| Facility | | $3,182.00 | $29,363.90 | $64,690.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,834.47 / $41,834.47 / $47,767.23
| Facility | | $41,834.47 | $41,834.47 | $47,767.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,775.49 / $55,420.36
| Facility | | $1,474.01 | $20,775.49 | $55,420.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,084.08 / $39,789.89 / $59,509.45
| Facility | | $27,084.08 | $39,789.89 | $59,509.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,868.59 / $34,261.19 / $73,994.28
| Facility | | $23,868.59 | $34,261.19 | $73,994.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,868.59 / $34,261.19 / $63,521.51
| Facility | | $23,868.59 | $34,261.19 | $63,521.51 |