- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,535.62 / $15,111.90 / $25,089.30
| Facility | | $9,535.62 | $15,111.90 | $25,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,446.00 / $14,044.30 / $35,937.44
| Facility | | $13,446.00 | $14,044.30 | $35,937.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,280.75 / $14,207.27 / $23,907.36
| Facility | | $9,280.75 | $14,207.27 | $23,907.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,025.96 / $16,518.90 / $28,850.42
| Facility | | $13,025.96 | $16,518.90 | $28,850.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,097.50 / $16,182.04 / $41,499.83
| Facility | | $8,097.50 | $16,182.04 | $41,499.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,097.50 / $15,450.03 / $21,714.26
| Facility | | $8,097.50 | $15,450.03 | $21,714.26 |