- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $16,218.10 / $22,387.21
| Facility | | $13,489.63 | $16,218.10 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $11,220.18 / $16,982.44
| Facility | | $6,918.31 | $11,220.18 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $15,848.93 / $26,915.35
| Facility | | $6,606.93 | $15,848.93 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $18,197.01 / $29,512.09
| Facility | | $13,803.84 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $17,378.01 / $27,542.29
| Facility | | $8,511.38 | $17,378.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,488.17 / $23,442.29
| Facility | | $9,772.37 | $15,488.17 | $23,442.29 |