- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $30,908.30 / $50,478.50
| Facility | | $6,303.00 | $30,908.30 | $50,478.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,397.01 / $56,145.29 / $75,334.86
| Facility | | $39,397.01 | $56,145.29 | $75,334.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,395.74 / $45,931.75 / $64,388.77
| Facility | | $31,395.74 | $45,931.75 | $64,388.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,118.72 / $51,012.36 / $64,309.91
| Facility | | $29,118.72 | $51,012.36 | $64,309.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,118.72 / $51,012.36 / $67,449.27
| Facility | | $29,118.72 | $51,012.36 | $67,449.27 |