- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,884.42 / $43,651.58
| Facility | | $23,988.33 | $33,884.42 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $29,512.09 / $38,904.51
| Facility | | $9,549.93 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $35,481.34 / $50,118.72
| Facility | | $18,620.87 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $9,549.93 / $26,302.68
| Facility | | $2,187.76 | $9,549.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $35,481.34 / $50,118.72
| Facility | | $16,982.44 | $35,481.34 | $50,118.72 |