- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $43,651.58
| Facility | | $22,908.68 | $33,884.42 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,454.40 / $30,902.95
| Facility | | $7,413.10 | $14,454.40 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $16,595.87 / $30,902.95
| Facility | | $8,511.38 | $16,595.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $16,595.87 / $30,902.95
| Facility | | $8,511.38 | $16,595.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $19,498.45 / $32,359.37
| Facility | | $5,370.32 | $19,498.45 | $32,359.37 |