- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $27,542.29 / $33,113.11
| Facility | | $22,387.21 | $27,542.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $24,547.09 / $39,810.72
| Facility | | $23,988.33 | $24,547.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,183.83 / $43,651.58
| Facility | | $21,379.62 | $28,183.83 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $39,810.72 / $39,810.72
| Facility | | $16,982.44 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $46,773.51
| Facility | | $22,387.21 | $30,902.95 | $46,773.51 |