- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $79,432.82 / $83,176.38
| Facility | | $21,877.62 | $79,432.82 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $52,480.75 / $77,624.71
| Facility | | $39,810.72 | $52,480.75 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $34,673.69 / $53,703.18
| Facility | | $21,877.62 | $34,673.69 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $36,307.81 / $43,651.58
| Facility | | $26,302.68 | $36,307.81 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $41,686.94 / $102,329.30
| Facility | | $19,952.62 | $41,686.94 | $102,329.30 |