- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $46,773.51
| Facility | | $24,547.09 | $36,307.81 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $15,488.17 / $33,113.11
| Facility | | $8,317.64 | $15,488.17 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,782.79 / $32,359.37
| Facility | | $10,964.78 | $17,782.79 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,782.79 / $32,359.37
| Facility | | $10,964.78 | $17,782.79 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $20,892.96 / $34,673.69
| Facility | | $5,370.32 | $20,892.96 | $34,673.69 |