- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,151.17 / $16,902.59 / $22,068.70
| Facility | | $8,151.17 | $16,902.59 | $22,068.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,236.18 / $41,333.36
| Facility | | $5,840.42 | $15,236.18 | $41,333.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,550.53 / $15,792.01 / $23,861.92
| Facility | | $9,550.53 | $15,792.01 | $23,861.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,426.28 / $22,426.28 / $22,426.28
| Facility | | $22,426.28 | $22,426.28 | $22,426.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,760.45 / $15,909.03 / $24,567.28
| Facility | | $13,760.45 | $15,909.03 | $24,567.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,236.18 / $41,333.36
| Facility | | $5,840.42 | $15,236.18 | $41,333.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,004.10 / $32,302.39
| Facility | | $5,840.42 | $12,004.10 | $32,302.39 |