- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,302.90 / $59,288.80
| Facility | | $6,303.00 | $36,302.90 | $59,288.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,947.75 / $65,944.62 / $88,483.44
| Facility | | $47,947.75 | $65,944.62 | $88,483.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,284.79 / $53,948.45 / $75,626.87
| Facility | | $39,284.79 | $53,948.45 | $75,626.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,200.96 / $59,915.81 / $75,534.25
| Facility | | $34,200.96 | $59,915.81 | $75,534.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,365.93 / $56,271.27 / $77,044.78
| Facility | | $35,365.93 | $56,271.27 | $77,044.78 |