- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $38,970.69 / $78,730.00
| Facility | | $3,821.00 | $38,970.69 | $78,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,529.37 / $53,185.83 / $89,956.66
| Facility | | $19,529.37 | $53,185.83 | $89,956.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,089.09 / $39,324.25 / $70,143.36
| Facility | | $28,089.09 | $39,324.25 | $70,143.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,568.37 / $43,685.06 / $63,783.75
| Facility | | $33,568.37 | $43,685.06 | $63,783.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,568.37 / $40,611.08 / $63,783.75
| Facility | | $33,568.37 | $40,611.08 | $63,783.75 |