- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $51,286.14
| Facility | | $23,988.33 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $26,915.35
| Facility | | $26,915.35 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $20,417.38 / $34,673.69
| Facility | | $7,585.78 | $20,417.38 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $50,118.72
| Facility | | $21,379.62 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,113.11 / $48,977.88
| Facility | | $26,915.35 | $33,113.11 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $32,359.37 / $46,773.51
| Facility | | $16,982.44 | $32,359.37 | $46,773.51 |