- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,417.38 / $26,302.68
| Facility | | $17,782.79 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $20,892.96 / $20,892.96
| Facility | | $20,892.96 | $20,892.96 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $21,379.62 / $36,307.81
| Facility | | $9,120.11 | $21,379.62 | $36,307.81 |
- 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
- $18,197.01 / $24,547.09 / $33,884.42
| Facility | | $18,197.01 | $24,547.09 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $23,442.29 / $38,018.94
| Facility | | $11,220.18 | $23,442.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $21,379.62 / $32,359.37
| Facility | | $13,489.63 | $21,379.62 | $32,359.37 |