- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,902.95 / $46,773.51
| Facility | | $23,988.33 | $30,902.95 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $51,286.14
| Facility | | $31,622.78 | $31,622.78 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $16,595.87 / $32,359.37
| Facility | | $8,709.64 | $16,595.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $39,810.72 / $45,708.82
| Facility | | $27,542.29 | $39,810.72 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $20,417.38 / $37,153.52
| Facility | | $3,311.31 | $20,417.38 | $37,153.52 |