- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $35,936.10 / $58,689.70
| Facility | | $6,303.00 | $35,936.10 | $58,689.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,805.60 / $65,278.25 / $87,589.32
| Facility | | $45,805.60 | $65,278.25 | $87,589.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,502.78 / $53,403.30 / $74,862.66
| Facility | | $36,502.78 | $53,403.30 | $74,862.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,855.36 / $59,310.36 / $74,770.97
| Facility | | $33,855.36 | $59,310.36 | $74,770.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,855.36 / $59,804.08 / $78,421.00
| Facility | | $33,855.36 | $59,804.08 | $78,421.00 |