- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $20,331.09 / $33,204.10
| Facility | | $6,303.00 | $20,331.09 | $33,204.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,852.68 / $36,931.65 / $49,554.30
| Facility | | $26,852.68 | $36,931.65 | $49,554.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,001.07 / $30,213.31 / $42,354.11
| Facility | | $22,001.07 | $30,213.31 | $42,354.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,153.91 / $33,555.26 / $42,302.23
| Facility | | $19,153.91 | $33,555.26 | $42,302.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,153.91 / $33,834.60 / $44,367.26
| Facility | | $19,153.91 | $33,834.60 | $44,367.26 |