- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,352.95 / $16,812.50 / $27,070.30
| Facility | | $7,352.95 | $16,812.50 | $27,070.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,650.83 / $14,650.83 / $14,650.83
| Facility | | $14,650.83 | $14,650.83 | $14,650.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,747.49 / $22,238.99
| Facility | | $1,474.01 | $8,747.49 | $22,238.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,170.12 / $17,578.59 / $24,902.19
| Facility | | $12,170.12 | $17,578.59 | $24,902.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,638.02 / $14,743.65 / $30,963.49
| Facility | | $10,638.02 | $14,743.65 | $30,963.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,988.00 / $14,743.65 / $31,363.28
| Facility | | $9,988.00 | $14,743.65 | $31,363.28 |