- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,509.70 / $22,648.80 / $29,768.30
| Facility | | $15,509.70 | $22,648.80 | $29,768.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,023.96 / $16,023.96 / $16,023.96
| Facility | | $16,023.96 | $16,023.96 | $16,023.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,457.92 / $25,757.49 / $43,565.33
| Facility | | $9,457.92 | $25,757.49 | $43,565.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,324.68 / $22,854.27 / $40,765.56
| Facility | | $16,324.68 | $22,854.27 | $40,765.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,509.09 / $25,388.66 / $37,069.51
| Facility | | $19,509.09 | $25,388.66 | $37,069.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,509.09 / $23,602.14 / $37,069.51
| Facility | | $19,509.09 | $23,602.14 | $37,069.51 |