- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $39,681.90 / $64,807.30
| Facility | | $6,303.00 | $39,681.90 | $64,807.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,410.64 / $72,082.62 / $96,719.31
| Facility | | $52,410.64 | $72,082.62 | $96,719.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,941.34 / $58,969.87 / $82,666.08
| Facility | | $42,941.34 | $58,969.87 | $82,666.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,384.32 / $65,492.66 / $82,564.83
| Facility | | $37,384.32 | $65,492.66 | $82,564.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,384.32 / $66,037.84 / $86,595.33
| Facility | | $37,384.32 | $66,037.84 | $86,595.33 |