- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $25,703.96 / $26,915.35
| Facility | | $25,703.96 | $25,703.96 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $63,095.73
| Facility | | $23,442.29 | $35,481.34 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $102,329.30 / $107,151.93
| Facility | | $77,624.71 | $102,329.30 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $26,915.35 / $63,095.73
| Facility | | $25,703.96 | $26,915.35 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $41,686.94 / $63,095.73
| Facility | | $28,840.32 | $41,686.94 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $41,686.94 / $52,480.75
| Facility | | $30,199.52 | $41,686.94 | $52,480.75 |