- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $23,442.29
| Facility | | $23,442.29 | $23,442.29 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $54,954.09
| Facility | | $19,498.45 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $93,325.43 / $97,723.72
| Facility | | $70,794.58 | $93,325.43 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $52,480.75
| Facility | | $23,442.29 | $23,442.29 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,018.94 / $56,234.13
| Facility | | $25,703.96 | $38,018.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $37,153.52
| Facility | | $26,915.35 | $34,673.69 | $37,153.52 |