- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $24,906.40 / $40,676.40
| Facility | | $6,303.00 | $24,906.40 | $40,676.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,895.61 / $45,242.75 / $60,706.01
| Facility | | $32,895.61 | $45,242.75 | $60,706.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,952.19 / $37,012.51 / $51,885.48
| Facility | | $26,952.19 | $37,012.51 | $51,885.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,464.32 / $41,106.56 / $51,821.93
| Facility | | $23,464.32 | $41,106.56 | $51,821.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,464.32 / $41,448.74 / $54,351.68
| Facility | | $23,464.32 | $41,448.74 | $54,351.68 |