- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $36,974.40 / $60,385.50
| Facility | | $6,303.00 | $36,974.40 | $60,385.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,834.68 / $67,164.44 / $90,120.18
| Facility | | $48,834.68 | $67,164.44 | $90,120.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,011.47 / $54,946.38 / $77,025.80
| Facility | | $40,011.47 | $54,946.38 | $77,025.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,833.60 / $61,024.11 / $76,931.46
| Facility | | $34,833.60 | $61,024.11 | $76,931.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,833.60 / $61,532.10 / $80,686.95
| Facility | | $34,833.60 | $61,532.10 | $80,686.95 |