- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,664.20 / $32,149.70 / $45,161.80
| Facility | | $23,664.20 | $32,149.70 | $45,161.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,985.48 / $28,544.37 / $42,759.82
| Facility | | $17,985.48 | $28,544.37 | $42,759.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,643.91 / $28,678.00 / $51,584.00
| Facility | | $20,643.91 | $28,678.00 | $51,584.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.75 / $302.26 / $481.72
| Facility | | $154.75 | $302.26 | $481.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,738.23 / $31,468.82 / $51,790.34
| Facility | | $22,738.23 | $31,468.82 | $51,790.34 |