- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $46,773.51
| Facility | | $18,620.87 | $26,302.68 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $20,417.38 / $35,481.34
| Facility | | $10,232.93 | $20,417.38 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $151,356.12
| Facility | | $17,782.79 | $17,782.79 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $22,387.21 / $33,884.42
| Facility | | $15,848.93 | $22,387.21 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $23,442.29 / $44,668.36
| Facility | | $11,481.54 | $23,442.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,379.62 / $32,359.37
| Facility | | $11,481.54 | $21,379.62 | $32,359.37 |