- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,703.96 / $37,153.52
| Facility | | $15,848.93 | $25,703.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,183.83 / $38,018.94
| Facility | | $17,782.79 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $41,686.94
| Facility | | $16,218.10 | $26,302.68 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $23,442.29 / $40,738.03
| Facility | | $4,365.16 | $23,442.29 | $40,738.03 |