- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $44,668.36
| Facility | | $21,379.62 | $29,512.09 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $26,302.68 / $38,018.94
| Facility | | $15,848.93 | $26,302.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $45,708.82
| Facility | | $18,197.01 | $25,703.96 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $288.40 / $436.52
| Facility | | $181.97 | $288.40 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,183.83 / $41,686.94
| Facility | | $18,197.01 | $28,183.83 | $41,686.94 |