- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,387.50 / $59,426.90
| Facility | | $6,303.00 | $36,387.50 | $59,426.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,059.46 / $66,098.25 / $88,689.59
| Facility | | $48,059.46 | $66,098.25 | $88,689.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,376.31 / $54,074.14 / $75,803.07
| Facility | | $39,376.31 | $54,074.14 | $75,803.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,280.64 / $60,055.40 / $75,710.22
| Facility | | $34,280.64 | $60,055.40 | $75,710.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,280.64 / $60,555.32 / $79,406.10
| Facility | | $34,280.64 | $60,555.32 | $79,406.10 |