- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,560.80 / $21,899.30 / $28,592.60
| Facility | | $10,560.80 | $21,899.30 | $28,592.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,740.24 / $53,552.16
| Facility | | $5,840.42 | $19,740.24 | $53,552.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,373.82 / $20,460.39 / $30,915.89
| Facility | | $12,373.82 | $20,460.39 | $30,915.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,055.85 / $29,055.85 / $29,055.85
| Facility | | $29,055.85 | $29,055.85 | $29,055.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,828.25 / $20,612.00 / $31,829.76
| Facility | | $17,828.25 | $20,612.00 | $31,829.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,740.24 / $53,552.16
| Facility | | $5,840.42 | $19,740.24 | $53,552.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,552.70 / $41,851.49
| Facility | | $5,840.42 | $15,552.70 | $41,851.49 |