- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $36,307.81 / $46,773.51
| Facility | | $26,302.68 | $36,307.81 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $2,691.53 / $2,691.53
| Facility | | $2,691.53 | $2,691.53 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $32,359.37 / $44,668.36
| Facility | | $21,877.62 | $32,359.37 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $38,018.94 / $53,703.18
| Facility | | $19,952.62 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $35,481.34 / $44,668.36
| Facility | | $22,908.68 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $38,018.94 / $53,703.18
| Facility | | $18,197.01 | $38,018.94 | $53,703.18 |