- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $54,954.09
| Facility | | $21,379.62 | $29,512.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $29,512.09 / $37,153.52
| Facility | | $18,620.87 | $29,512.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $31,622.78 / $58,884.37
| Facility | | $20,417.38 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $41,686.94
| Facility | | $19,054.61 | $29,512.09 | $41,686.94 |