- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $45,185.70 / $82,123.10
| Facility | | $3,406.00 | $45,185.70 | $82,123.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $29,885.40 / $65,822.96
| Facility | | $1,474.01 | $29,885.40 | $65,822.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,382.50 / $50,512.17 / $75,545.61
| Facility | | $34,382.50 | $50,512.17 | $75,545.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,272.49 / $46,739.00 / $80,638.81
| Facility | | $32,272.49 | $46,739.00 | $80,638.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,507.39 / $54,570.61 / $80,638.81
| Facility | | $34,507.39 | $54,570.61 | $80,638.81 |