- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,300.29 / $18,867.59 / $26,714.50
| Facility | | $10,300.29 | $18,867.59 | $26,714.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,067.49 / $24,067.49 / $24,067.49
| Facility | | $24,067.49 | $24,067.49 | $24,067.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,296.85 / $18,124.18 / $28,469.43
| Facility | | $11,296.85 | $18,124.18 | $28,469.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,709.16 / $16,235.74 / $30,196.59
| Facility | | $10,709.16 | $16,235.74 | $30,196.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,814.92 / $15,788.78 / $35,707.51
| Facility | | $6,814.92 | $15,788.78 | $35,707.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $15,153.46 / $31,731.57
| Facility | | $3,308.00 | $15,153.46 | $31,731.57 |