- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $29,512.09 / $38,018.94
| Facility | | $19,952.62 | $29,512.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $12,302.69 / $26,915.35
| Facility | | $6,309.57 | $12,302.69 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $14,125.38 / $26,302.68
| Facility | | $8,511.38 | $14,125.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $14,125.38 / $26,302.68
| Facility | | $8,511.38 | $14,125.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $16,595.87 / $28,183.83
| Facility | | $5,370.32 | $16,595.87 | $28,183.83 |