- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $27,010.60 / $44,112.90
| Facility | | $6,303.00 | $27,010.60 | $44,112.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,674.82 / $49,065.12 / $65,834.80
| Facility | | $35,674.82 | $49,065.12 | $65,834.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,229.27 / $40,139.55 / $56,269.06
| Facility | | $29,229.27 | $40,139.55 | $56,269.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,446.72 / $44,579.47 / $56,200.14
| Facility | | $25,446.72 | $44,579.47 | $56,200.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,446.72 / $44,950.57 / $58,943.62
| Facility | | $25,446.72 | $44,950.57 | $58,943.62 |