- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $19,054.61 / $32,359.37
| Facility | | $9,332.54 | $19,054.61 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $17,782.79 / $46,773.51
| Facility | | $6,165.95 | $17,782.79 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $18,620.87 / $27,542.29
| Facility | | $10,964.78 | $18,620.87 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $26,915.35
| Facility | | $26,915.35 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $17,378.01 / $46,773.51
| Facility | | $6,165.95 | $17,378.01 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $17,782.79 / $46,773.51
| Facility | | $6,165.95 | $17,782.79 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $14,125.38 / $40,738.03
| Facility | | $6,165.95 | $14,125.38 | $40,738.03 |