- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $45,708.82
| Facility | | $23,988.33 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $13,489.63 / $28,840.32
| Facility | | $6,918.31 | $13,489.63 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $16,982.44 / $31,622.78
| Facility | | $12,302.69 | $16,982.44 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $16,982.44 / $31,622.78
| Facility | | $12,302.69 | $16,982.44 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $21,877.62 / $34,673.69
| Facility | | $5,370.32 | $21,877.62 | $34,673.69 |