- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $23,551.10 / $38,463.00
| Facility | | $6,303.00 | $23,551.10 | $38,463.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,105.61 / $42,780.89 / $57,402.72
| Facility | | $31,105.61 | $42,780.89 | $57,402.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,485.60 / $34,998.50 / $49,062.15
| Facility | | $25,485.60 | $34,998.50 | $49,062.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,187.52 / $38,869.76 / $49,002.06
| Facility | | $22,187.52 | $38,869.76 | $49,002.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,187.52 / $39,193.33 / $51,394.15
| Facility | | $22,187.52 | $39,193.33 | $51,394.15 |