- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,524.50 / $15,603.10 / $20,372.09
| Facility | | $7,524.50 | $15,603.10 | $20,372.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,064.81 / $38,155.62
| Facility | | $5,840.42 | $14,064.81 | $38,155.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,816.28 / $14,577.92 / $22,027.40
| Facility | | $8,816.28 | $14,577.92 | $22,027.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,702.14 / $20,702.14 / $20,702.14
| Facility | | $20,702.14 | $20,702.14 | $20,702.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,702.54 / $14,685.94 / $22,678.53
| Facility | | $12,702.54 | $14,685.94 | $22,678.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,064.81 / $38,155.62
| Facility | | $5,840.42 | $14,064.81 | $38,155.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,081.22 / $29,818.96
| Facility | | $5,840.42 | $11,081.22 | $29,818.96 |