- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $38,551.90 / $70,066.39
| Facility | | $3,182.00 | $38,551.90 | $70,066.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $21,337.65 / $58,541.89
| Facility | | $1,474.01 | $21,337.65 | $58,541.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,334.74 / $43,096.38 / $64,454.61
| Facility | | $29,334.74 | $43,096.38 | $64,454.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.50 / $38,541.00 / $80,143.13
| Facility | | $27,534.50 | $38,541.00 | $80,143.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.50 / $38,161.16 / $71,613.00
| Facility | | $27,534.50 | $38,161.16 | $71,613.00 |