- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $19,632.09 / $32,062.50
| Facility | | $6,303.00 | $19,632.09 | $32,062.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,929.42 / $35,661.85 / $47,850.50
| Facility | | $25,929.42 | $35,661.85 | $47,850.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,244.62 / $29,174.50 / $40,897.86
| Facility | | $21,244.62 | $29,174.50 | $40,897.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,495.36 / $32,401.56 / $40,847.76
| Facility | | $18,495.36 | $32,401.56 | $40,847.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,495.36 / $32,671.28 / $42,841.80
| Facility | | $18,495.36 | $32,671.28 | $42,841.80 |