- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $65,881.89 / $86,018.10
| Facility | | $3,822.00 | $65,881.89 | $86,018.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,386.64 / $161,106.63
| Facility | | $5,840.42 | $59,386.64 | $161,106.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,951.01 / $61,113.93 / $88,581.62
| Facility | | $32,951.01 | $61,113.93 | $88,581.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,411.79 / $87,411.79 / $87,411.79
| Facility | | $87,411.79 | $87,411.79 | $87,411.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,634.64 / $62,009.25 / $95,756.84
| Facility | | $53,634.64 | $62,009.25 | $95,756.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,386.64 / $161,106.63
| Facility | | $5,840.42 | $59,386.64 | $161,106.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $59,386.64 / $125,906.26
| Facility | | $5,840.42 | $59,386.64 | $125,906.26 |