- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,500.60 / $21,774.50 / $28,429.70
| Facility | | $10,500.60 | $21,774.50 | $28,429.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,627.74 / $53,246.98
| Facility | | $5,840.42 | $19,627.74 | $53,246.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,303.31 / $20,343.79 / $30,739.70
| Facility | | $12,303.31 | $20,343.79 | $30,739.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,890.27 / $28,890.27 / $28,890.27
| Facility | | $28,890.27 | $28,890.27 | $28,890.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,726.66 / $20,494.53 / $31,648.37
| Facility | | $17,726.66 | $20,494.53 | $31,648.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,627.74 / $53,246.98
| Facility | | $5,840.42 | $19,627.74 | $53,246.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,464.07 / $41,612.99
| Facility | | $5,840.42 | $15,464.07 | $41,612.99 |