- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $24,317.40 / $39,714.50
| Facility | | $6,303.00 | $24,317.40 | $39,714.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,117.70 / $44,172.86 / $59,270.44
| Facility | | $32,117.70 | $44,172.86 | $59,270.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,314.83 / $36,137.26 / $50,658.50
| Facility | | $26,314.83 | $36,137.26 | $50,658.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,909.44 / $40,134.48 / $50,596.45
| Facility | | $22,909.44 | $40,134.48 | $50,596.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,909.44 / $40,468.57 / $53,066.38
| Facility | | $22,909.44 | $40,468.57 | $53,066.38 |