- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $37,153.52 / $47,863.01
| Facility | | $25,118.86 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,488.17 / $33,884.42
| Facility | | $7,943.28 | $15,488.17 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $17,782.79 / $33,113.11
| Facility | | $12,882.50 | $17,782.79 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $17,782.79 / $33,113.11
| Facility | | $12,882.50 | $17,782.79 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $22,908.68 / $36,307.81
| Facility | | $5,370.32 | $22,908.68 | $36,307.81 |