- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $25,059.20 / $40,926.00
| Facility | | $6,303.00 | $25,059.20 | $40,926.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,097.49 / $45,520.41 / $61,078.56
| Facility | | $33,097.49 | $45,520.41 | $61,078.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,117.60 / $37,239.67 / $52,203.90
| Facility | | $27,117.60 | $37,239.67 | $52,203.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,608.32 / $41,358.83 / $52,139.96
| Facility | | $23,608.32 | $41,358.83 | $52,139.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,608.32 / $41,703.11 / $54,685.23
| Facility | | $23,608.32 | $41,703.11 | $54,685.23 |