- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $35,202.40 / $57,491.50
| Facility | | $6,303.00 | $35,202.40 | $57,491.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,494.22 / $63,945.51 / $85,801.07
| Facility | | $46,494.22 | $63,945.51 | $85,801.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,093.87 / $52,313.01 / $73,334.25
| Facility | | $38,093.87 | $52,313.01 | $73,334.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,164.16 / $58,099.46 / $73,244.42
| Facility | | $33,164.16 | $58,099.46 | $73,244.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,164.16 / $58,583.11 / $76,819.94
| Facility | | $33,164.16 | $58,583.11 | $76,819.94 |