- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,963.60 / $53,835.20
| Facility | | $6,303.00 | $32,963.60 | $53,835.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,537.35 / $59,878.81 / $80,344.42
| Facility | | $43,537.35 | $59,878.81 | $80,344.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,671.24 / $48,986.09 / $68,670.46
| Facility | | $35,671.24 | $48,986.09 | $68,670.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,055.04 / $54,404.55 / $68,586.35
| Facility | | $31,055.04 | $54,404.55 | $68,586.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,055.04 / $54,857.43 / $71,934.47
| Facility | | $31,055.04 | $54,857.43 | $71,934.47 |