- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,194.00 / $50,812.40 / $98,584.20
| Facility | | $5,194.00 | $50,812.40 | $98,584.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,725.71 / $39,965.18 / $43,667.77
| Facility | | $28,725.71 | $39,965.18 | $43,667.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $39,218.39 / $93,634.46
| Facility | | $5,939.30 | $39,218.39 | $93,634.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,591.29 / $54,059.32 / $88,018.43
| Facility | | $30,591.29 | $54,059.32 | $88,018.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $57,122.00 / $99,743.55
| Facility | | $3,535.00 | $57,122.00 | $99,743.55 |