- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $44,668.36
| Facility | | $23,442.29 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,454.40 / $31,622.78
| Facility | | $7,413.10 | $14,454.40 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $16,595.87 / $30,902.95
| Facility | | $12,022.64 | $16,595.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $16,595.87 / $30,902.95
| Facility | | $12,022.64 | $16,595.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $21,379.62 / $33,884.42
| Facility | | $5,370.32 | $21,379.62 | $33,884.42 |