- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $29,512.09 / $40,738.03
| Facility | | $15,848.93 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,118.86 / $40,738.03
| Facility | | $16,982.44 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $31,622.78 / $43,651.58
| Facility | | $15,488.17 | $31,622.78 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $22,908.68 / $47,863.01
| Facility | | $7,079.46 | $22,908.68 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $22,908.68 / $45,708.82
| Facility | | $6,456.54 | $22,908.68 | $45,708.82 |