- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $35,373.60 / $57,771.00
| Facility | | $6,303.00 | $35,373.60 | $57,771.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,720.32 / $64,256.48 / $86,218.33
| Facility | | $46,720.32 | $64,256.48 | $86,218.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,279.12 / $52,567.41 / $73,690.88
| Facility | | $38,279.12 | $52,567.41 | $73,690.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,325.44 / $58,382.01 / $73,600.62
| Facility | | $33,325.44 | $58,382.01 | $73,600.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,325.44 / $58,868.00 / $77,193.52
| Facility | | $33,325.44 | $58,868.00 | $77,193.52 |