- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $24,427.50 / $39,894.19
| Facility | | $6,303.00 | $24,427.50 | $39,894.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,263.05 / $44,372.77 / $59,538.68
| Facility | | $32,263.05 | $44,372.77 | $59,538.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,433.92 / $36,300.80 / $50,887.76
| Facility | | $26,433.92 | $36,300.80 | $50,887.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,013.12 / $40,316.11 / $50,825.43
| Facility | | $23,013.12 | $40,316.11 | $50,825.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,013.12 / $40,651.72 / $53,306.54
| Facility | | $23,013.12 | $40,651.72 | $53,306.54 |