- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,366.52 / $15,275.50 / $19,944.30
| Facility | | $7,366.52 | $15,275.50 | $19,944.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,769.51 / $37,354.51
| Facility | | $5,840.42 | $13,769.51 | $37,354.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,631.18 / $14,271.84 / $21,564.92
| Facility | | $8,631.18 | $14,271.84 | $21,564.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,267.48 / $20,267.48 / $20,267.48
| Facility | | $20,267.48 | $20,267.48 | $20,267.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,435.84 / $14,377.59 / $22,202.38
| Facility | | $12,435.84 | $14,377.59 | $22,202.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,769.51 / $37,354.51
| Facility | | $5,840.42 | $13,769.51 | $37,354.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $10,848.56 / $29,192.89
| Facility | | $5,840.42 | $10,848.56 | $29,192.89 |