- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $22,498.50 / $36,743.90
| Facility | | $6,303.00 | $22,498.50 | $36,743.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,715.33 / $40,868.78 / $54,837.08
| Facility | | $29,715.33 | $40,868.78 | $54,837.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,346.51 / $33,434.23 / $46,869.30
| Facility | | $24,346.51 | $33,434.23 | $46,869.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,195.84 / $37,132.46 / $46,811.90
| Facility | | $21,195.84 | $37,132.46 | $46,811.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,195.84 / $37,441.57 / $49,097.07
| Facility | | $21,195.84 | $37,441.57 | $49,097.07 |