- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $33,181.40 / $83,636.30
| Facility | | $3,821.00 | $33,181.40 | $83,636.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,150.39 / $54,877.10 / $92,817.23
| Facility | | $20,150.39 | $54,877.10 | $92,817.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,498.51 / $67,138.39 / $112,374.49
| Facility | | $46,498.51 | $67,138.39 | $112,374.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,575.48 / $74,927.33 / $109,400.01
| Facility | | $57,575.48 | $74,927.33 | $109,400.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,575.48 / $69,654.94 / $109,400.01
| Facility | | $57,575.48 | $69,654.94 | $109,400.01 |