- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,183.83 / $33,884.42
| Facility | | $23,442.29 | $28,183.83 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,703.96 / $40,738.03
| Facility | | $25,118.86 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,840.32 / $45,708.82
| Facility | | $22,387.21 | $28,840.32 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $38,904.51 / $38,904.51
| Facility | | $18,197.01 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $47,863.01
| Facility | | $23,442.29 | $32,359.37 | $47,863.01 |