- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,908.60 / $53,745.30
| Facility | | $6,303.00 | $32,908.60 | $53,745.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,351.53 / $59,778.85 / $80,210.32
| Facility | | $42,351.53 | $59,778.85 | $80,210.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,611.69 / $48,904.32 / $68,555.83
| Facility | | $35,611.69 | $48,904.32 | $68,555.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,003.20 / $54,313.73 / $68,471.86
| Facility | | $31,003.20 | $54,313.73 | $68,471.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,003.20 / $54,765.86 / $71,814.39
| Facility | | $31,003.20 | $54,765.86 | $71,814.39 |