- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,852.20 / $15,667.60 / $25,226.80
| Facility | | $6,852.20 | $15,667.60 | $25,226.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,851.96 / $11,851.96 / $14,180.51
| Facility | | $11,851.96 | $11,851.96 | $14,180.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $22,349.71
| Facility | | $1,474.01 | $6,242.69 | $22,349.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,341.31 / $16,381.45 / $23,206.30
| Facility | | $11,341.31 | $16,381.45 | $23,206.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,913.54 / $13,739.58 / $28,854.81
| Facility | | $9,913.54 | $13,739.58 | $28,854.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,307.79 / $13,739.58 / $24,770.84
| Facility | | $9,307.79 | $13,739.58 | $24,770.84 |