- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $24,404.00 / $39,855.90
| Facility | | $6,303.00 | $24,404.00 | $39,855.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,232.10 / $44,330.20 / $59,481.56
| Facility | | $32,232.10 | $44,330.20 | $59,481.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,408.56 / $36,265.97 / $50,838.94
| Facility | | $26,408.56 | $36,265.97 | $50,838.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,991.04 / $40,277.43 / $50,776.67
| Facility | | $22,991.04 | $40,277.43 | $50,776.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,991.04 / $40,612.71 / $53,255.39
| Facility | | $22,991.04 | $40,612.71 | $53,255.39 |