- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,296.17 / $19,276.90 / $25,168.70
| Facility | | $9,296.17 | $19,276.90 | $25,168.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,603.78 / $47,139.48
| Facility | | $5,840.42 | $17,603.78 | $47,139.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,892.10 / $18,010.33 / $27,213.82
| Facility | | $10,892.10 | $18,010.33 | $27,213.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,015.60 / $25,015.60 / $25,015.60
| Facility | | $25,015.60 | $25,015.60 | $25,015.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,693.39 / $18,143.78 / $28,018.26
| Facility | | $15,693.39 | $18,143.78 | $28,018.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,603.78 / $47,139.48
| Facility | | $5,840.42 | $17,603.78 | $47,139.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,603.78 / $36,839.92
| Facility | | $5,840.42 | $17,603.78 | $36,839.92 |