- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,423.30 / $31,284.40 / $41,118.50
| Facility | | $21,423.30 | $31,284.40 | $41,118.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,271.59 / $25,271.59 / $25,271.59
| Facility | | $25,271.59 | $25,271.59 | $25,271.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,663.34 / $20,870.16 / $35,299.07
| Facility | | $7,663.34 | $20,870.16 | $35,299.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,763.17 / $31,423.47 / $52,595.79
| Facility | | $21,763.17 | $31,423.47 | $52,595.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,947.64 / $35,069.01 / $51,203.61
| Facility | | $26,947.64 | $35,069.01 | $51,203.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,947.64 / $32,601.32 / $51,203.61
| Facility | | $26,947.64 | $32,601.32 | $51,203.61 |