- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,953.68 / $20,640.40 / $26,948.90
| Facility | | $9,953.68 | $20,640.40 | $26,948.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,605.43 / $50,473.62
| Facility | | $5,840.42 | $18,605.43 | $50,473.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,662.49 / $19,284.18 / $29,138.63
| Facility | | $11,662.49 | $19,284.18 | $29,138.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,385.52 / $27,385.52 / $27,385.52
| Facility | | $27,385.52 | $27,385.52 | $27,385.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,803.37 / $19,427.08 / $29,999.97
| Facility | | $16,803.37 | $19,427.08 | $29,999.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,605.43 / $50,473.62
| Facility | | $5,840.42 | $18,605.43 | $50,473.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,605.43 / $43,929.57
| Facility | | $3,775.00 | $18,605.43 | $43,929.57 |