- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,884.10 / $53,705.40
| Facility | | $6,303.00 | $32,884.10 | $53,705.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,432.38 / $59,734.43 / $80,150.71
| Facility | | $43,432.38 | $59,734.43 | $80,150.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,585.23 / $48,867.98 / $68,504.88
| Facility | | $35,585.23 | $48,867.98 | $68,504.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,980.16 / $54,273.37 / $68,420.97
| Facility | | $30,980.16 | $54,273.37 | $68,420.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,980.16 / $54,725.16 / $71,761.02
| Facility | | $30,980.16 | $54,725.16 | $71,761.02 |