- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $46,978.30 / $72,384.39
| Facility | | $3,333.00 | $46,978.30 | $72,384.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,549.16 / $47,882.58 / $71,741.66
| Facility | | $29,549.16 | $47,882.58 | $71,741.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,636.51 / $47,601.40 / $86,548.00
| Facility | | $34,636.51 | $47,601.40 | $86,548.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.64 / $500.25 / $861.59
| Facility | | $259.64 | $500.25 | $861.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,150.36 / $52,798.61 / $86,894.19
| Facility | | $38,150.36 | $52,798.61 | $86,894.19 |