- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $52,480.75
| Facility | | $27,542.29 | $40,738.03 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $16,982.44 / $37,153.52
| Facility | | $9,332.54 | $16,982.44 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,498.45 / $36,307.81
| Facility | | $14,125.38 | $19,498.45 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,498.45 / $36,307.81
| Facility | | $14,125.38 | $19,498.45 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $25,118.86 / $39,810.72
| Facility | | $5,370.32 | $25,118.86 | $39,810.72 |