- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $56,786.90 / $103,208.00
| Facility | | $3,406.00 | $56,786.90 | $103,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $33,050.83 / $87,384.64
| Facility | | $1,474.01 | $33,050.83 | $87,384.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,210.00 / $63,480.87 / $94,941.49
| Facility | | $43,210.00 | $63,480.87 | $94,941.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,558.26 / $58,947.00 / $101,342.34
| Facility | | $40,558.26 | $58,947.00 | $101,342.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,558.26 / $68,581.28 / $101,342.34
| Facility | | $40,558.26 | $68,581.28 | $101,342.34 |