- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,442.90 / $52,984.80
| Facility | | $6,303.00 | $32,442.90 | $52,984.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,849.62 / $58,932.93 / $79,075.28
| Facility | | $42,849.62 | $58,932.93 | $79,075.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,107.76 / $48,212.28 / $67,585.71
| Facility | | $35,107.76 | $48,212.28 | $67,585.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,564.48 / $53,545.15 / $67,502.92
| Facility | | $30,564.48 | $53,545.15 | $67,502.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,564.48 / $53,990.88 / $70,798.16
| Facility | | $30,564.48 | $53,990.88 | $70,798.16 |