- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $22,369.10 / $36,532.50
| Facility | | $6,303.00 | $22,369.10 | $36,532.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,544.41 / $40,633.69 / $54,521.66
| Facility | | $29,544.41 | $40,633.69 | $54,521.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,206.47 / $33,241.91 / $46,599.71
| Facility | | $24,206.47 | $33,241.91 | $46,599.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,073.92 / $36,918.87 / $46,542.63
| Facility | | $21,073.92 | $36,918.87 | $46,542.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,073.92 / $37,226.19 / $48,814.66
| Facility | | $21,073.92 | $37,226.19 | $48,814.66 |