- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $39,810.72 / $51,286.14
| Facility | | $26,915.35 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $16,595.87 / $36,307.81
| Facility | | $9,120.11 | $16,595.87 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $35,481.34
| Facility | | $13,803.84 | $19,054.61 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $35,481.34
| Facility | | $13,803.84 | $19,054.61 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $24,547.09 / $38,904.51
| Facility | | $5,370.32 | $24,547.09 | $38,904.51 |