- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $49,210.10 / $89,437.30
| Facility | | $3,182.00 | $49,210.10 | $89,437.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $36,408.89 / $81,151.97
| Facility | | $1,474.01 | $36,408.89 | $81,151.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,208.66 / $58,077.64 / $82,273.96
| Facility | | $40,208.66 | $58,077.64 | $82,273.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,999.18 / $47,524.37 / $90,956.00
| Facility | | $32,999.18 | $47,524.37 | $90,956.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,999.18 / $59,430.86 / $103,620.67
| Facility | | $32,999.18 | $59,430.86 | $103,620.67 |