- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,370.37 / $12,944.10 / $22,742.60
| Facility | | $6,370.37 | $12,944.10 | $22,742.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,256.18 / $21,419.48 / $27,533.02
| Facility | | $14,256.18 | $21,419.48 | $27,533.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,434.82 / $18,251.28 / $29,181.87
| Facility | | $14,434.82 | $18,251.28 | $29,181.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.46 / $19,661.93 / $41,231.69
| Facility | | $10,232.46 | $19,661.93 | $41,231.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,434.82 / $19,532.09 / $29,189.08
| Facility | | $14,434.82 | $19,532.09 | $29,189.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $15,902.00 / $25,104.41
| Facility | | $4,870.00 | $15,902.00 | $25,104.41 |