- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $19,736.00 / $32,232.20
| Facility | | $6,303.00 | $19,736.00 | $32,232.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,066.69 / $35,850.65 / $48,103.84
| Facility | | $26,066.69 | $35,850.65 | $48,103.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,357.09 / $29,328.96 / $41,114.39
| Facility | | $21,357.09 | $29,328.96 | $41,114.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,593.28 / $32,573.10 / $41,064.03
| Facility | | $18,593.28 | $32,573.10 | $41,064.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,593.28 / $32,844.25 / $43,068.62
| Facility | | $18,593.28 | $32,844.25 | $43,068.62 |