- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,886.70 / $18,378.50 / $32,340.80
| Facility | | $10,886.70 | $18,378.50 | $32,340.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,527.00 / $3,527.00 / $3,527.00
| Facility | | $3,527.00 | $3,527.00 | $3,527.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,848.36 / $14,572.06 / $24,106.19
| Facility | | $9,848.36 | $14,572.06 | $24,106.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,903.12 / $16,940.48 / $23,391.76
| Facility | | $9,903.12 | $16,940.48 | $23,391.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,757.40 / $34,757.40 / $40,790.76
| Facility | | $34,757.40 | $34,757.40 | $40,790.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $14,981.05 / $22,592.73
| Facility | | $2,520.00 | $14,981.05 | $22,592.73 |