- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $29,969.80 / $48,945.80
| Facility | | $6,303.00 | $29,969.80 | $48,945.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,583.21 / $54,440.50 / $73,047.39
| Facility | | $39,583.21 | $54,440.50 | $73,047.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,431.51 / $44,537.08 / $62,433.67
| Facility | | $32,431.51 | $44,537.08 | $62,433.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,234.56 / $49,463.42 / $62,357.20
| Facility | | $28,234.56 | $49,463.42 | $62,357.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,234.56 / $49,875.17 / $65,401.24
| Facility | | $28,234.56 | $49,875.17 | $65,401.24 |