- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,020.00 / $65,115.00 / $108,165.00
| Facility | | $5,020.00 | $65,115.00 | $108,165.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,393.00 / $90,076.67 / $133,471.74
| Facility | | $31,393.00 | $90,076.67 | $133,471.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,561.47 / $92,569.18 / $136,258.22
| Facility | | $58,561.47 | $92,569.18 | $136,258.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,755.22 / $90,311.85 / $192,474.69
| Facility | | $47,755.22 | $90,311.85 | $192,474.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,893.46 / $99,898.03 / $137,009.42
| Facility | | $54,893.46 | $99,898.03 | $137,009.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $83,278.25 / $127,116.78
| Facility | | $9,114.00 | $83,278.25 | $127,116.78 |