- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,580.70 / $51,630.70 / $83,132.00
| Facility | | $22,580.70 | $51,630.70 | $83,132.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $26,027.47 / $73,013.70
| Facility | | $1,474.01 | $26,027.47 | $73,013.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,315.00 / $51,132.73 / $76,473.72
| Facility | | $35,315.00 | $51,132.73 | $76,473.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,668.97 / $45,277.22 / $95,087.74
| Facility | | $32,668.97 | $45,277.22 | $95,087.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,672.77 / $45,277.22 / $96,315.50
| Facility | | $30,672.77 | $45,277.22 | $96,315.50 |