- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $33,542.40 / $54,780.50
| Facility | | $6,303.00 | $33,542.40 | $54,780.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,301.81 / $60,930.19 / $81,755.16
| Facility | | $44,301.81 | $60,930.19 | $81,755.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,297.58 / $49,846.21 / $69,876.21
| Facility | | $36,297.58 | $49,846.21 | $69,876.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,600.32 / $55,359.81 / $69,790.62
| Facility | | $31,600.32 | $55,359.81 | $69,790.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,600.32 / $55,820.65 / $73,197.53
| Facility | | $31,600.32 | $55,820.65 | $73,197.53 |