- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $38,345.00 / $62,623.80
| Facility | | $6,303.00 | $38,345.00 | $62,623.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,644.86 / $69,654.07 / $93,460.73
| Facility | | $50,644.86 | $69,654.07 | $93,460.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,494.60 / $56,983.11 / $79,880.96
| Facility | | $41,494.60 | $56,983.11 | $79,880.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,124.80 / $63,286.13 / $79,783.13
| Facility | | $36,124.80 | $63,286.13 | $79,783.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,124.80 / $63,812.95 / $83,677.83
| Facility | | $36,124.80 | $63,812.95 | $83,677.83 |