- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,060.50 / $17,724.70 / $27,365.40
| Facility | | $12,060.50 | $17,724.70 | $27,365.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,438.82 / $73,127.96 / $93,753.79
| Facility | | $51,438.82 | $73,127.96 | $93,753.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,573.69 / $26,243.45 / $33,193.22
| Facility | | $13,573.69 | $26,243.45 | $33,193.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,060.50 / $18,129.30 / $28,989.60
| Facility | | $12,060.50 | $18,129.30 | $28,989.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,104.64 / $24,119.11 / $36,643.93
| Facility | | $14,104.64 | $24,119.11 | $36,643.93 |