- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $43,651.58
| Facility | | $20,417.38 | $33,113.11 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $34,673.69 / $42,657.95
| Facility | | $23,442.29 | $34,673.69 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Facility | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,199.52 / $40,738.03
| Facility | | $20,892.96 | $30,199.52 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Facility | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $27,542.29 / $44,668.36
| Facility | | $18,197.01 | $27,542.29 | $44,668.36 |