- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $39,442.40 / $64,416.20
| Facility | | $6,303.00 | $39,442.40 | $64,416.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,094.36 / $71,647.62 / $96,135.65
| Facility | | $52,094.36 | $71,647.62 | $96,135.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,682.21 / $58,614.01 / $82,167.22
| Facility | | $42,682.21 | $58,614.01 | $82,167.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,158.72 / $65,097.43 / $82,066.58
| Facility | | $37,158.72 | $65,097.43 | $82,066.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,158.72 / $65,639.33 / $86,072.76
| Facility | | $37,158.72 | $65,639.33 | $86,072.76 |