- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $20,274.50 / $34,602.40
| Facility | | $3,333.00 | $20,274.50 | $34,602.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,230.04 / $23,362.06 / $26,010.96
| Facility | | $18,230.04 | $23,362.06 | $26,010.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,166.08 / $19,796.72 / $29,309.87
| Facility | | $13,166.08 | $19,796.72 | $29,309.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,111.05 / $19,481.15 / $35,260.00
| Facility | | $14,111.05 | $19,481.15 | $35,260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.86 / $203.80 / $351.01
| Facility | | $140.86 | $203.80 | $351.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,542.61 / $21,482.16 / $34,099.94
| Facility | | $15,542.61 | $21,482.16 | $34,099.94 |