- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $54,954.09
| Facility | | $22,908.68 | $31,622.78 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,183.83 / $40,738.03
| Facility | | $17,378.01 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $48,977.88
| Facility | | $19,498.45 | $27,542.29 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $309.03 / $457.09
| Facility | | $181.97 | $309.03 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,199.52 / $44,668.36
| Facility | | $19,498.45 | $30,199.52 | $44,668.36 |