- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,424.19 / $59,486.80
| Facility | | $6,303.00 | $36,424.19 | $59,486.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,107.91 / $66,164.89 / $88,779.00
| Facility | | $48,107.91 | $66,164.89 | $88,779.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,416.01 / $54,128.65 / $75,879.49
| Facility | | $39,416.01 | $54,128.65 | $75,879.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,315.19 / $60,115.94 / $75,786.55
| Facility | | $34,315.19 | $60,115.94 | $75,786.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,315.19 / $60,616.37 / $79,486.16
| Facility | | $34,315.19 | $60,616.37 | $79,486.16 |