- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,300.79 / $15,022.00 / $24,385.40
| Facility | | $10,300.79 | $15,022.00 | $24,385.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.26 / $528.26 / $528.26
| Facility | | $528.26 | $528.26 | $528.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,393.01 / $47,473.16 / $60,863.02
| Facility | | $33,393.01 | $47,473.16 | $60,863.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,095.56 / $23,385.63 / $29,578.59
| Facility | | $12,095.56 | $23,385.63 | $29,578.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,747.20 / $16,155.10 / $25,832.70
| Facility | | $10,747.20 | $16,155.10 | $25,832.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,568.69 / $21,492.62 / $32,653.54
| Facility | | $12,568.69 | $21,492.62 | $32,653.54 |