- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $25,632.20 / $64,608.00
| Facility | | $3,821.00 | $25,632.20 | $64,608.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,689.74 / $45,452.45 / $76,876.69
| Facility | | $16,689.74 | $45,452.45 | $76,876.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,216.62 / $52,102.63 / $92,936.38
| Facility | | $37,216.62 | $52,102.63 | $92,936.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,476.38 / $57,880.48 / $84,510.21
| Facility | | $44,476.38 | $57,880.48 | $84,510.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,476.38 / $53,807.62 / $84,510.21
| Facility | | $44,476.38 | $53,807.62 | $84,510.21 |