- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $31,622.78 / $40,738.03
| Facility | | $21,379.62 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $28,840.32
| Facility | | $7,244.36 | $13,803.84 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $28,183.83
| Facility | | $11,220.18 | $15,488.17 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $28,183.83
| Facility | | $11,220.18 | $15,488.17 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $19,498.45 / $30,199.52
| Facility | | $5,370.32 | $19,498.45 | $30,199.52 |