- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $26,282.00 / $42,923.00
| Facility | | $6,303.00 | $26,282.00 | $42,923.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,712.51 / $47,741.64 / $64,058.97
| Facility | | $34,712.51 | $47,741.64 | $64,058.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,440.84 / $39,056.83 / $54,751.26
| Facility | | $28,440.84 | $39,056.83 | $54,751.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,760.32 / $43,376.99 / $54,684.20
| Facility | | $24,760.32 | $43,376.99 | $54,684.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,760.32 / $43,738.07 / $57,353.67
| Facility | | $24,760.32 | $43,738.07 | $57,353.67 |