- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $53,703.18
| Facility | | $21,379.62 | $39,810.72 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $32,359.37 / $52,480.75
| Facility | | $21,379.62 | $32,359.37 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $42,657.95 / $57,543.99
| Facility | | $20,417.38 | $42,657.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $30,902.95 / $69,183.10
| Facility | | $7,079.46 | $30,902.95 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $30,902.95 / $63,095.73
| Facility | | $6,456.54 | $30,902.95 | $63,095.73 |