- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,108.70 / $52,438.90
| Facility | | $6,303.00 | $32,108.70 | $52,438.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,408.17 / $58,325.80 / $78,260.63
| Facility | | $42,408.17 | $58,325.80 | $78,260.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,746.08 / $47,715.59 / $66,889.42
| Facility | | $34,746.08 | $47,715.59 | $66,889.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,249.60 / $52,993.52 / $66,807.50
| Facility | | $30,249.60 | $52,993.52 | $66,807.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,249.60 / $53,434.66 / $70,068.78
| Facility | | $30,249.60 | $53,434.66 | $70,068.78 |