- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $48,977.88 / $63,095.73
| Facility | | $33,884.42 | $48,977.88 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $20,892.96 / $44,668.36
| Facility | | $11,220.18 | $20,892.96 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,988.33 / $44,668.36
| Facility | | $17,378.01 | $23,988.33 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,988.33 / $44,668.36
| Facility | | $17,378.01 | $23,988.33 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $28,183.83 / $47,863.01
| Facility | | $5,370.32 | $28,183.83 | $47,863.01 |