- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,377.70 / $52,878.30
| Facility | | $6,303.00 | $32,377.70 | $52,878.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,763.48 / $58,814.47 / $78,916.32
| Facility | | $42,763.48 | $58,814.47 | $78,916.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,037.19 / $48,115.37 / $67,449.85
| Facility | | $35,037.19 | $48,115.37 | $67,449.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,503.04 / $53,437.51 / $67,367.23
| Facility | | $30,503.04 | $53,437.51 | $67,367.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,503.04 / $53,882.35 / $70,655.84
| Facility | | $30,503.04 | $53,882.35 | $70,655.84 |