- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $48,354.60 / $77,885.10
| Facility | | $3,406.00 | $48,354.60 | $77,885.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,297.22 / $42,297.22 / $42,297.22
| Facility | | $42,297.22 | $42,297.22 | $42,297.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $28,758.26 / $63,340.41
| Facility | | $1,474.01 | $28,758.26 | $63,340.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,596.40 / $47,888.18 / $71,621.19
| Facility | | $32,596.40 | $47,888.18 | $71,621.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,596.01 / $44,779.00 / $76,449.81
| Facility | | $30,596.01 | $44,779.00 | $76,449.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,596.01 / $51,735.79 / $76,449.81
| Facility | | $30,596.01 | $51,735.79 | $76,449.81 |