- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,822.00 / $54,469.10 / $87,702.10
| Facility | | $23,822.00 | $54,469.10 | $87,702.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $32,868.12 / $84,074.01
| Facility | | $1,474.01 | $32,868.12 | $84,074.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,428.60 / $56,950.92 / $80,677.82
| Facility | | $39,428.60 | $56,950.92 | $80,677.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,464.93 / $47,766.31 / $100,315.14
| Facility | | $34,464.93 | $47,766.31 | $100,315.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,358.99 / $47,766.31 / $101,610.40
| Facility | | $32,358.99 | $47,766.31 | $101,610.40 |