- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $27,542.29 / $33,113.11
| Facility | | $22,908.68 | $27,542.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $25,118.86 / $39,810.72
| Facility | | $24,547.09 | $25,118.86 | $39,810.72 |
- 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
- $21,877.62 / $28,183.83 / $44,668.36
| Facility | | $21,877.62 | $28,183.83 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $36,307.81 / $36,307.81
| Facility | | $17,782.79 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $46,773.51
| Facility | | $22,908.68 | $31,622.78 | $46,773.51 |