- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $33,000.30 / $53,895.10
| Facility | | $6,303.00 | $33,000.30 | $53,895.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,585.81 / $59,945.44 / $80,433.85
| Facility | | $43,585.81 | $59,945.44 | $80,433.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,710.94 / $49,040.61 / $68,746.88
| Facility | | $35,710.94 | $49,040.61 | $68,746.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,089.60 / $54,465.09 / $68,662.67
| Facility | | $31,089.60 | $54,465.09 | $68,662.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,089.60 / $54,918.48 / $72,014.52
| Facility | | $31,089.60 | $54,918.48 | $72,014.52 |