- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.00 / $35,239.19 / $63,979.20
| Facility | | $9,063.00 | $35,239.19 | $63,979.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,825.99 / $61,627.37 / $83,029.58
| Facility | | $40,825.99 | $61,627.37 | $83,029.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,395.58 / $54,904.19 / $80,596.27
| Facility | | $38,395.58 | $54,904.19 | $80,596.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,365.66 / $48,913.95 / $101,535.07
| Facility | | $18,365.66 | $48,913.95 | $101,535.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,469.29 / $59,089.34 / $81,040.60
| Facility | | $32,469.29 | $59,089.34 | $81,040.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $43,944.52 / $74,324.78
| Facility | | $5,281.00 | $43,944.52 | $74,324.78 |