- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,289.00 / $30,688.50 / $74,428.70
| Facility | | $3,289.00 | $30,688.50 | $74,428.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,845.00 / $46,607.99 / $103,864.83
| Facility | | $3,845.00 | $46,607.99 | $103,864.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,539.79 / $60,664.23 / $89,787.67
| Facility | | $42,539.79 | $60,664.23 | $89,787.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $9,495.54 / $65,442.62
| Facility | | $4,817.00 | $9,495.54 | $65,442.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,619.00 / $57,573.00 / $89,295.38
| Facility | | $7,619.00 | $57,573.00 | $89,295.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,921.00 / $19,216.41 / $76,101.53
| Facility | | $1,921.00 | $19,216.41 | $76,101.53 |