- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $50,394.20 / $67,305.39
| Facility | | $3,822.00 | $50,394.20 | $67,305.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,425.88 / $123,233.30
| Facility | | $5,840.42 | $45,425.88 | $123,233.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,474.43 / $47,083.08 / $71,143.10
| Facility | | $28,474.43 | $47,083.08 | $71,143.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,862.82 / $66,862.82 / $66,862.82
| Facility | | $66,862.82 | $66,862.82 | $66,862.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,026.08 / $47,431.96 / $73,246.09
| Facility | | $41,026.08 | $47,431.96 | $73,246.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,425.88 / $123,233.30
| Facility | | $5,840.42 | $45,425.88 | $123,233.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,020.28 / $96,307.92
| Facility | | $5,840.42 | $46,020.28 | $96,307.92 |