- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,262.00 / $42,488.20 / $88,906.80
| Facility | | $5,262.00 | $42,488.20 | $88,906.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,479.07 / $69,246.50 / $96,392.35
| Facility | | $29,479.07 | $69,246.50 | $96,392.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,187.20 / $56,398.01 / $83,667.19
| Facility | | $29,187.20 | $56,398.01 | $83,667.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $47,950.40 / $87,469.87
| Facility | | $1,400.00 | $47,950.40 | $87,469.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $42,529.92 / $90,171.77
| Facility | | $1,400.00 | $42,529.92 | $90,171.77 |