- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,737.50 / $15,178.70 / $21,728.20
| Facility | | $10,737.50 | $15,178.70 | $21,728.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,561.61 / $20,561.61 / $20,561.61
| Facility | | $20,561.61 | $20,561.61 | $20,561.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,057.36 / $14,330.24 / $20,708.56
| Facility | | $9,057.36 | $14,330.24 | $20,708.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,932.16 / $13,711.95 / $24,818.00
| Facility | | $9,932.16 | $13,711.95 | $24,818.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.57 / $146.10 / $231.76
| Facility | | $105.57 | $146.10 | $231.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,380.12 / $14,589.26 / $23,551.04
| Facility | | $10,380.12 | $14,589.26 | $23,551.04 |