- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $37,413.60 / $61,102.80
| Facility | | $6,303.00 | $37,413.60 | $61,102.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,414.74 / $67,962.23 / $91,190.65
| Facility | | $49,414.74 | $67,962.23 | $91,190.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,486.73 / $55,599.04 / $77,940.72
| Facility | | $40,486.73 | $55,599.04 | $77,940.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,247.36 / $61,748.97 / $77,845.25
| Facility | | $35,247.36 | $61,748.97 | $77,845.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,247.36 / $62,262.99 / $81,645.37
| Facility | | $35,247.36 | $62,262.99 | $81,645.37 |