- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $29,512.09 / $44,668.36
| Facility | | $22,908.68 | $29,512.09 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $13,803.84 / $13,803.84
| Facility | | $13,803.84 | $13,803.84 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $28,183.83 / $42,657.95
| Facility | | $6,918.31 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,442.29 / $43,651.58
| Facility | | $16,982.44 | $23,442.29 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $19,498.45 / $39,810.72
| Facility | | $3,311.31 | $19,498.45 | $39,810.72 |