- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $51,449.80 / $93,507.80
| Facility | | $3,406.00 | $51,449.80 | $93,507.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $32,052.72 / $83,469.92
| Facility | | $1,474.01 | $32,052.72 | $83,469.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,148.93 / $57,514.65 / $86,018.46
| Facility | | $39,148.93 | $57,514.65 | $86,018.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,440.00 / $49,523.15 / $106,955.71
| Facility | | $33,440.00 | $49,523.15 | $106,955.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,470.00 / $49,523.15 / $91,817.73
| Facility | | $34,470.00 | $49,523.15 | $91,817.73 |