- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $29,365.50 / $47,958.90
| Facility | | $6,303.00 | $29,365.50 | $47,958.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,785.11 / $53,342.84 / $71,574.58
| Facility | | $38,785.11 | $53,342.84 | $71,574.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,777.61 / $43,639.10 / $61,174.85
| Facility | | $31,777.61 | $43,639.10 | $61,174.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,665.28 / $48,466.11 / $61,099.92
| Facility | | $27,665.28 | $48,466.11 | $61,099.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,665.28 / $48,869.56 / $64,082.59
| Facility | | $27,665.28 | $48,869.56 | $64,082.59 |