- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $46,685.60 / $82,024.60
| Facility | | $4,804.00 | $46,685.60 | $82,024.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,990.00 / $50,410.40
| Facility | | $687.00 | $2,990.00 | $50,410.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,754.70 / $50,405.14 / $95,375.75
| Facility | | $30,754.70 | $50,405.14 | $95,375.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,776.80 / $110,939.92 / $110,939.92
| Facility | | $67,776.80 | $110,939.92 | $110,939.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,826.00 / $44,720.95 / $104,316.32
| Facility | | $31,826.00 | $44,720.95 | $104,316.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,828.00 / $43,899.62 / $80,595.41
| Facility | | $14,828.00 | $43,899.62 | $80,595.41 |