- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,879.65 / $16,678.50 / $29,349.30
| Facility | | $9,879.65 | $16,678.50 | $29,349.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,025.31 / $8,025.31 / $8,025.31
| Facility | | $8,025.31 | $8,025.31 | $8,025.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,926.73 / $10,141.02 / $16,653.68
| Facility | | $6,926.73 | $10,141.02 | $16,653.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,987.08 / $15,373.48 / $21,228.02
| Facility | | $8,987.08 | $15,373.48 | $21,228.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,288.12 / $24,288.12 / $35,292.28
| Facility | | $24,288.12 | $24,288.12 | $35,292.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,535.15 / $20,761.80
| Facility | | $1,787.00 | $14,535.15 | $20,761.80 |