- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,333.50 / $59,338.70
| Facility | | $6,303.00 | $36,333.50 | $59,338.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,988.13 / $66,000.14 / $88,557.95
| Facility | | $47,988.13 | $66,000.14 | $88,557.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,317.87 / $53,993.88 / $75,690.56
| Facility | | $39,317.87 | $53,993.88 | $75,690.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,229.76 / $59,966.26 / $75,597.85
| Facility | | $34,229.76 | $59,966.26 | $75,597.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,229.76 / $60,465.44 / $79,288.25
| Facility | | $34,229.76 | $60,465.44 | $79,288.25 |