- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,712.09 / $25,864.90 / $33,995.30
| Facility | | $17,712.09 | $25,864.90 | $33,995.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,795.74 / $19,795.74 / $19,795.74
| Facility | | $19,795.74 | $19,795.74 | $19,795.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,629.57 / $20,947.34 / $35,143.51
| Facility | | $7,629.57 | $20,947.34 | $35,143.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,642.75 / $26,099.54 / $47,392.33
| Facility | | $18,642.75 | $26,099.54 | $47,392.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,279.36 / $28,993.82 / $42,333.34
| Facility | | $22,279.36 | $28,993.82 | $42,333.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,279.36 / $26,953.62 / $42,333.34
| Facility | | $22,279.36 | $26,953.62 | $42,333.34 |