- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $23,696.80 / $38,701.00
| Facility | | $6,303.00 | $23,696.80 | $38,701.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,298.07 / $43,045.59 / $57,757.89
| Facility | | $31,298.07 | $43,045.59 | $57,757.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,643.29 / $35,215.05 / $49,365.71
| Facility | | $25,643.29 | $35,215.05 | $49,365.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,324.80 / $39,110.26 / $49,305.25
| Facility | | $22,324.80 | $39,110.26 | $49,305.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,085.24 / $36,731.26 / $50,291.26
| Facility | | $23,085.24 | $36,731.26 | $50,291.26 |