- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $26,875.10 / $43,891.60
| Facility | | $6,303.00 | $26,875.10 | $43,891.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,495.82 / $48,818.93 / $65,504.47
| Facility | | $35,495.82 | $48,818.93 | $65,504.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,082.61 / $39,938.15 / $55,986.73
| Facility | | $29,082.61 | $39,938.15 | $55,986.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,319.04 / $44,355.79 / $55,918.15
| Facility | | $25,319.04 | $44,355.79 | $55,918.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,319.04 / $44,725.03 / $58,647.86
| Facility | | $25,319.04 | $44,725.03 | $58,647.86 |