- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,855.70 / $32,076.40 / $44,385.40
| Facility | | $19,855.70 | $32,076.40 | $44,385.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,839.73 / $34,839.73 / $34,839.73
| Facility | | $34,839.73 | $34,839.73 | $34,839.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,909.71 / $28,697.77 / $43,477.73
| Facility | | $17,909.71 | $28,697.77 | $43,477.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,159.07 / $29,658.97 / $45,941.84
| Facility | | $19,159.07 | $29,658.97 | $45,941.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,437.18 / $28,503.51 / $43,476.86
| Facility | | $17,437.18 | $28,503.51 | $43,476.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,720.94 / $31,972.15 / $48,234.62
| Facility | | $14,720.94 | $31,972.15 | $48,234.62 |