- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,171.00 / $27,475.00 / $60,837.40
| Facility | | $3,171.00 | $27,475.00 | $60,837.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,581.00 / $46,636.44 / $67,234.80
| Facility | | $17,581.00 | $46,636.44 | $67,234.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,470.08 / $60,810.37 / $89,510.49
| Facility | | $38,470.08 | $60,810.37 | $89,510.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,722.20 / $26,239.00 / $64,370.27
| Facility | | $9,722.20 | $26,239.00 | $64,370.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,575.00 / $53,850.16 / $89,488.40
| Facility | | $10,575.00 | $53,850.16 | $89,488.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,697.00 / $39,988.67 / $82,545.37
| Facility | | $7,697.00 | $39,988.67 | $82,545.37 |