- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $27,609.80 / $45,091.50
| Facility | | $6,303.00 | $27,609.80 | $45,091.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,466.19 / $50,153.52 / $67,295.20
| Facility | | $36,466.19 | $50,153.52 | $67,295.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,877.66 / $41,029.96 / $57,517.27
| Facility | | $29,877.66 | $41,029.96 | $57,517.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,011.20 / $45,568.37 / $57,446.82
| Facility | | $26,011.20 | $45,568.37 | $57,446.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,011.20 / $45,947.70 / $60,251.15
| Facility | | $26,011.20 | $45,947.70 | $60,251.15 |