- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $19,720.70 / $32,207.30
| Facility | | $6,303.00 | $19,720.70 | $32,207.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,046.51 / $35,822.89 / $48,066.58
| Facility | | $26,046.51 | $35,822.89 | $48,066.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,340.55 / $29,306.25 / $41,082.55
| Facility | | $21,340.55 | $29,306.25 | $41,082.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,578.88 / $32,547.88 / $41,032.23
| Facility | | $18,578.88 | $32,547.88 | $41,032.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,578.88 / $32,818.82 / $43,035.27
| Facility | | $18,578.88 | $32,818.82 | $43,035.27 |