- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $69,360.89 / $111,720.00
| Facility | | $3,406.00 | $69,360.89 | $111,720.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $40,036.28 / $88,180.40
| Facility | | $1,474.01 | $40,036.28 | $88,180.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,757.05 / $68,691.92 / $102,735.12
| Facility | | $46,757.05 | $68,691.92 | $102,735.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,887.63 / $60,825.60 / $109,661.41
| Facility | | $43,887.63 | $60,825.60 | $109,661.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,205.93 / $62,615.00 / $129,390.66
| Facility | | $41,205.93 | $62,615.00 | $129,390.66 |