- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,735.60 / $14,197.80 / $23,047.40
| Facility | | $9,735.60 | $14,197.80 | $23,047.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,652.30 / $14,652.30 / $14,652.30
| Facility | | $14,652.30 | $14,652.30 | $14,652.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,316.24 / $28,988.17 / $37,022.08
| Facility | | $20,316.24 | $28,988.17 | $37,022.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,431.88 / $22,102.47 / $27,955.63
| Facility | | $11,431.88 | $22,102.47 | $27,955.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,157.50 / $15,268.70 / $24,415.30
| Facility | | $10,157.50 | $15,268.70 | $24,415.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,879.05 / $20,313.33 / $30,861.85
| Facility | | $11,879.05 | $20,313.33 | $30,861.85 |