- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,934.30 / $23,756.50 / $41,564.90
| Facility | | $17,934.30 | $23,756.50 | $41,564.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,554.34 / $31,114.57 / $33,681.17
| Facility | | $26,554.34 | $31,114.57 | $33,681.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,270.73 / $41,029.64
| Facility | | $5,939.30 | $20,270.73 | $41,029.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,084.00 / $22,792.38 / $37,110.15
| Facility | | $15,084.00 | $22,792.38 | $37,110.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,482.20 / $42,053.67
| Facility | | $3,496.00 | $24,482.20 | $42,053.67 |