- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $59,662.00 / $106,966.00
| Facility | | $3,821.00 | $59,662.00 | $106,966.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,920.61 / $65,144.85 / $110,183.73
| Facility | | $23,920.61 | $65,144.85 | $110,183.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,469.18 / $85,866.51 / $143,721.14
| Facility | | $59,469.18 | $85,866.51 | $143,721.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,636.03 / $95,828.16 / $139,916.92
| Facility | | $73,636.03 | $95,828.16 | $139,916.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,826.88 / $83,803.47 / $138,571.47
| Facility | | $48,826.88 | $83,803.47 | $138,571.47 |