- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $29,247.30 / $47,765.90
| Facility | | $6,303.00 | $29,247.30 | $47,765.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,279.87 / $53,128.12 / $71,286.47
| Facility | | $37,279.87 | $53,128.12 | $71,286.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,708.58 / $43,463.44 / $60,928.61
| Facility | | $29,708.58 | $43,463.44 | $60,928.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,553.92 / $48,271.02 / $60,853.98
| Facility | | $27,553.92 | $48,271.02 | $60,853.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,492.48 / $45,334.81 / $62,070.95
| Facility | | $28,492.48 | $45,334.81 | $62,070.95 |