- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,099.82 / $18,869.80 / $24,637.10
| Facility | | $9,099.82 | $18,869.80 | $24,637.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,009.40 / $46,143.82
| Facility | | $5,840.42 | $17,009.40 | $46,143.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,662.04 / $17,629.91 / $26,639.02
| Facility | | $10,662.04 | $17,629.91 | $26,639.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,036.30 / $25,036.30 / $25,036.30
| Facility | | $25,036.30 | $25,036.30 | $25,036.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,361.92 / $17,760.56 / $27,426.47
| Facility | | $15,361.92 | $17,760.56 | $27,426.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,009.40 / $46,143.82
| Facility | | $5,840.42 | $17,009.40 | $46,143.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,401.16 / $36,061.80
| Facility | | $5,840.42 | $13,401.16 | $36,061.80 |