- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $35,481.34 / $53,703.18
| Facility | | $25,703.96 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $45,708.82
| Facility | | $19,498.45 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,902.95 / $54,954.09
| Facility | | $21,877.62 | $30,902.95 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $346.74 / $549.54
| Facility | | $181.97 | $346.74 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $50,118.72
| Facility | | $21,877.62 | $33,884.42 | $50,118.72 |