- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $29,046.60 / $47,438.00
| Facility | | $6,303.00 | $29,046.60 | $47,438.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,363.85 / $52,763.47 / $70,797.17
| Facility | | $38,363.85 | $52,763.47 | $70,797.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,432.46 / $43,165.12 / $60,510.41
| Facility | | $31,432.46 | $43,165.12 | $60,510.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,364.80 / $47,939.71 / $60,436.30
| Facility | | $27,364.80 | $47,939.71 | $60,436.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,364.80 / $48,338.78 / $63,386.57
| Facility | | $27,364.80 | $48,338.78 | $63,386.57 |