- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,199.52 / $40,738.03
| Facility | | $15,848.93 | $30,199.52 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,442.29 / $38,018.94
| Facility | | $15,848.93 | $23,442.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $32,359.37 / $43,651.58
| Facility | | $15,488.17 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $22,908.68 / $47,863.01
| Facility | | $7,079.46 | $22,908.68 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $23,442.29 / $45,708.82
| Facility | | $6,456.54 | $23,442.29 | $45,708.82 |