- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,051.09 / $19,818.70 / $33,461.80
| Facility | | $9,051.09 | $19,818.70 | $33,461.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,449.47 / $29,432.25 / $38,164.57
| Facility | | $18,449.47 | $29,432.25 | $38,164.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,757.07 / $28,251.84 / $41,472.11
| Facility | | $19,757.07 | $28,251.84 | $41,472.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,538.39 / $27,935.86 / $58,582.39
| Facility | | $14,538.39 | $27,935.86 | $58,582.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,757.07 / $30,759.48 / $41,700.75
| Facility | | $19,757.07 | $30,759.48 | $41,700.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,723.90 / $26,014.63 / $39,108.39
| Facility | | $5,723.90 | $26,014.63 | $39,108.39 |