- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $37,153.52 / $47,863.01
| Facility | | $25,703.96 | $37,153.52 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $15,848.93 / $33,884.42
| Facility | | $8,128.31 | $15,848.93 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,197.01 / $33,884.42
| Facility | | $13,182.57 | $18,197.01 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $18,197.01 / $33,884.42
| Facility | | $13,182.57 | $18,197.01 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $23,442.29 / $37,153.52
| Facility | | $5,370.32 | $23,442.29 | $37,153.52 |