- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,333.23 / $17,280.09 / $22,561.60
| Facility | | $8,333.23 | $17,280.09 | $22,561.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,576.48 / $42,256.54
| Facility | | $5,840.42 | $15,576.48 | $42,256.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,763.84 / $16,144.73 / $24,394.88
| Facility | | $9,763.84 | $16,144.73 | $24,394.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,927.17 / $22,927.17 / $22,927.17
| Facility | | $22,927.17 | $22,927.17 | $22,927.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,067.79 / $16,264.36 / $25,115.99
| Facility | | $14,067.79 | $16,264.36 | $25,115.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,576.48 / $42,256.54
| Facility | | $5,840.42 | $15,576.48 | $42,256.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,272.21 / $33,023.86
| Facility | | $5,840.42 | $12,272.21 | $33,023.86 |