- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,183.83 / $50,118.72
| Facility | | $18,620.87 | $28,183.83 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $22,387.21 / $22,387.21
| Facility | | $22,387.21 | $22,387.21 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $37,153.52
| Facility | | $15,848.93 | $25,118.86 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,118.86 / $43,651.58
| Facility | | $17,378.01 | $25,118.86 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $275.42 / $436.52
| Facility | | $181.97 | $275.42 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $38,904.51
| Facility | | $17,378.01 | $26,302.68 | $38,904.51 |