- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $28,441.30 / $46,449.50
| Facility | | $6,303.00 | $28,441.30 | $46,449.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,564.41 / $51,663.96 / $69,321.88
| Facility | | $37,564.41 | $51,663.96 | $69,321.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,777.46 / $42,265.63 / $59,249.47
| Facility | | $30,777.46 | $42,265.63 | $59,249.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,794.56 / $46,940.72 / $59,176.90
| Facility | | $26,794.56 | $46,940.72 | $59,176.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,794.56 / $47,331.47 / $62,065.69
| Facility | | $26,794.56 | $47,331.47 | $62,065.69 |