- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $29,422.60 / $48,052.10
| Facility | | $6,303.00 | $29,422.60 | $48,052.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,503.28 / $51,389.95 / $67,788.13
| Facility | | $37,503.28 | $51,389.95 | $67,788.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,971.41 / $42,083.86 / $57,938.57
| Facility | | $29,971.41 | $42,083.86 | $57,938.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,719.04 / $48,560.29 / $61,218.65
| Facility | | $27,719.04 | $48,560.29 | $61,218.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,719.04 / $48,560.29 / $64,207.11
| Facility | | $27,719.04 | $48,560.29 | $64,207.11 |