- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $49,617.40 / $79,919.20
| Facility | | $3,182.00 | $49,617.40 | $79,919.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,298.91 / $42,298.91 / $42,298.91
| Facility | | $42,298.91 | $42,298.91 | $42,298.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,112.66 / $66,127.73
| Facility | | $1,474.01 | $20,112.66 | $66,127.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,447.69 / $49,138.83 / $73,491.66
| Facility | | $33,447.69 | $49,138.83 | $73,491.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,253.05 / $42,451.40 / $91,379.83
| Facility | | $27,253.05 | $42,451.40 | $91,379.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,253.05 / $43,511.65 / $78,446.38
| Facility | | $27,253.05 | $43,511.65 | $78,446.38 |