- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,238.69 / $59,183.90
| Facility | | $6,303.00 | $36,238.69 | $59,183.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,862.96 / $65,828.00 / $88,326.97
| Facility | | $47,862.96 | $65,828.00 | $88,326.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,215.32 / $53,853.05 / $75,493.14
| Facility | | $39,215.32 | $53,853.05 | $75,493.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,140.48 / $59,809.85 / $75,400.67
| Facility | | $34,140.48 | $59,809.85 | $75,400.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,140.48 / $60,307.74 / $79,081.44
| Facility | | $34,140.48 | $60,307.74 | $79,081.44 |