- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $35,734.69 / $55,060.30
| Facility | | $3,333.00 | $35,734.69 | $55,060.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,075.78 / $36,429.26 / $51,852.29
| Facility | | $21,075.78 | $36,429.26 | $51,852.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,346.77 / $36,373.29 / $65,834.00
| Facility | | $26,346.77 | $36,373.29 | $65,834.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.50 / $385.75 / $614.79
| Facility | | $197.50 | $385.75 | $614.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,465.00 / $39,395.07 / $63,668.06
| Facility | | $25,465.00 | $39,395.07 | $63,668.06 |