- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,952.62 / $26,302.68
| Facility | | $12,302.69 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $40,738.03
| Facility | | $22,908.68 | $33,113.11 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $23,442.29
| Facility | | $23,442.29 | $23,442.29 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $24,547.09
| Facility | | $12,589.25 | $18,620.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $23,442.29
| Facility | | $23,442.29 | $23,442.29 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,982.44 / $26,915.35
| Facility | | $10,964.78 | $16,982.44 | $26,915.35 |