- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $50,183.90 / $80,831.60
| Facility | | $3,406.00 | $50,183.90 | $80,831.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $29,458.11 / $76,886.00
| Facility | | $1,474.01 | $29,458.11 | $76,886.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,326.66 / $49,699.84 / $74,330.70
| Facility | | $36,326.66 | $49,699.84 | $74,330.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,753.49 / $44,008.41 / $92,423.09
| Facility | | $31,753.49 | $44,008.41 | $92,423.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,813.23 / $53,693.02 / $94,398.00
| Facility | | $29,813.23 | $53,693.02 | $94,398.00 |