- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,113.11 / $42,657.95
| Facility | | $22,387.21 | $33,113.11 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $30,199.52
| Facility | | $7,244.36 | $13,803.84 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $29,512.09
| Facility | | $11,481.54 | $15,848.93 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $29,512.09
| Facility | | $11,481.54 | $15,848.93 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $20,417.38 / $32,359.37
| Facility | | $5,370.32 | $20,417.38 | $32,359.37 |