- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,656.70 / $26,245.40 / $34,267.10
| Facility | | $12,656.70 | $26,245.40 | $34,267.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,967.47 / $64,180.20
| Facility | | $5,840.42 | $23,967.47 | $64,180.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,829.55 / $24,520.98 / $37,051.50
| Facility | | $14,829.55 | $24,520.98 | $37,051.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,822.32 / $34,822.32 / $34,822.32
| Facility | | $34,822.32 | $34,822.32 | $34,822.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,366.48 / $24,702.68 / $38,146.74
| Facility | | $21,366.48 | $24,702.68 | $38,146.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,967.47 / $64,180.20
| Facility | | $5,840.42 | $23,967.47 | $64,180.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,967.47 / $50,157.39
| Facility | | $5,840.42 | $23,967.47 | $50,157.39 |