- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $32,359.37 / $50,118.72
| Facility | | $25,118.86 | $32,359.37 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $13,489.63 / $13,489.63
| Facility | | $13,489.63 | $13,489.63 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $31,622.78 / $47,863.01
| Facility | | $6,918.31 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,703.96 / $43,651.58
| Facility | | $18,620.87 | $25,703.96 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $23,988.33 / $44,668.36
| Facility | | $3,467.37 | $23,988.33 | $44,668.36 |