- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $32,687.00 / $68,076.00
| Facility | | $3,821.00 | $32,687.00 | $68,076.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,643.94 / $33,643.94 / $33,643.94
| Facility | | $33,643.94 | $33,643.94 | $33,643.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,341.67 / $39,375.76 / $66,060.98
| Facility | | $14,341.67 | $39,375.76 | $66,060.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,031.00 / $45,664.55 / $80,248.82
| Facility | | $29,031.00 | $45,664.55 | $80,248.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,115.76 / $53,507.07 / $78,124.67
| Facility | | $41,115.76 | $53,507.07 | $78,124.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,115.76 / $49,741.95 / $78,124.67
| Facility | | $41,115.76 | $49,741.95 | $78,124.67 |