- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,262.00 / $41,361.19 / $86,548.50
| Facility | | $5,262.00 | $41,361.19 | $86,548.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,243.21 / $67,409.72 / $93,835.52
| Facility | | $33,243.21 | $67,409.72 | $93,835.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,920.38 / $54,902.03 / $81,447.89
| Facility | | $28,920.38 | $54,902.03 | $81,447.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $46,678.50 / $85,149.70
| Facility | | $1,400.00 | $46,678.50 | $85,149.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $41,401.80 / $87,779.93
| Facility | | $1,400.00 | $41,401.80 | $87,779.93 |