- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $51,286.14 / $70,794.58
| Facility | | $27,542.29 | $51,286.14 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $39,810.72 / $66,069.34
| Facility | | $26,915.35 | $39,810.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $54,954.09 / $75,857.76
| Facility | | $26,915.35 | $54,954.09 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $38,018.94 / $83,176.38
| Facility | | $5,370.32 | $38,018.94 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $36,307.81 / $79,432.82
| Facility | | $5,370.32 | $36,307.81 | $79,432.82 |