- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $24,359.20 / $39,782.69
| Facility | | $6,303.00 | $24,359.20 | $39,782.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,172.88 / $44,248.75 / $59,372.27
| Facility | | $32,172.88 | $44,248.75 | $59,372.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,360.04 / $36,199.33 / $50,745.53
| Facility | | $26,360.04 | $36,199.33 | $50,745.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,948.80 / $40,203.43 / $50,683.38
| Facility | | $22,948.80 | $40,203.43 | $50,683.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,948.80 / $40,538.10 / $53,157.55
| Facility | | $22,948.80 | $40,538.10 | $53,157.55 |