- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,749.19 / $60,017.70
| Facility | | $6,303.00 | $36,749.19 | $60,017.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.24 / $66,755.37 / $89,571.29
| Facility | | $48,537.24 | $66,755.37 | $89,571.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,767.76 / $54,611.72 / $76,556.66
| Facility | | $39,767.76 | $54,611.72 | $76,556.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,621.44 / $60,652.44 / $76,462.89
| Facility | | $34,621.44 | $60,652.44 | $76,462.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,621.44 / $61,157.33 / $80,195.52
| Facility | | $34,621.44 | $61,157.33 | $80,195.52 |