- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,526.00 / $19,287.00 / $82,458.60
| Facility | | $8,526.00 | $19,287.00 | $82,458.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,706.00 / $65,728.77 / $107,540.87
| Facility | | $1,706.00 | $65,728.77 | $107,540.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,480.48 / $97,093.87 / $153,146.69
| Facility | | $58,480.48 | $97,093.87 | $153,146.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,524.72 / $72,687.34 / $141,873.81
| Facility | | $48,524.72 | $72,687.34 | $141,873.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $67,009.78 / $137,187.23
| Facility | | $5,693.00 | $67,009.78 | $137,187.23 |