- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.00 / $58,503.70 / $115,585.00
| Facility | | $8,317.00 | $58,503.70 | $115,585.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,665.00 / $8,357.50 / $39,758.76
| Facility | | $3,665.00 | $8,357.50 | $39,758.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,361.13 / $42,065.58 / $72,570.45
| Facility | | $4,361.13 | $42,065.58 | $72,570.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,319.26 / $53,170.74 / $117,532.68
| Facility | | $43,319.26 | $53,170.74 | $117,532.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,273.00 / $4,104.00 / $90,013.32
| Facility | | $1,273.00 | $4,104.00 | $90,013.32 |