- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $21,343.00 / $34,856.69
| Facility | | $6,303.00 | $21,343.00 | $34,856.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,189.12 / $38,769.72 / $52,020.59
| Facility | | $28,189.12 | $38,769.72 | $52,020.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,096.05 / $31,717.01 / $44,462.05
| Facility | | $23,096.05 | $31,717.01 | $44,462.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,107.20 / $35,225.30 / $44,407.59
| Facility | | $20,107.20 | $35,225.30 | $44,407.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,107.20 / $35,518.53 / $46,575.40
| Facility | | $20,107.20 | $35,518.53 | $46,575.40 |