- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $47,185.10 / $68,302.20
| Facility | | $5,767.00 | $47,185.10 | $68,302.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,675.65 / $43,038.28 / $72,205.58
| Facility | | $15,675.65 | $43,038.28 | $72,205.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,234.00 / $45,140.65 / $79,328.14
| Facility | | $26,234.00 | $45,140.65 | $79,328.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,644.06 / $52,893.19 / $77,228.37
| Facility | | $40,644.06 | $52,893.19 | $77,228.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,687.83 / $50,898.27 / $74,627.69
| Facility | | $33,687.83 | $50,898.27 | $74,627.69 |