- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,329.30 / $25,305.90 / $33,260.69
| Facility | | $17,329.30 | $25,305.90 | $33,260.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,212.21 / $21,212.21 / $21,212.21
| Facility | | $21,212.21 | $21,212.21 | $21,212.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,428.73 / $20,034.74 / $33,886.07
| Facility | | $7,428.73 | $20,034.74 | $33,886.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,604.16 / $25,418.36 / $42,544.59
| Facility | | $17,604.16 | $25,418.36 | $42,544.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,797.88 / $28,367.23 / $41,418.46
| Facility | | $21,797.88 | $28,367.23 | $41,418.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,797.88 / $26,371.12 / $41,418.46
| Facility | | $21,797.88 | $26,371.12 | $41,418.46 |