- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,903.60 / $24,683.90 / $32,228.30
| Facility | | $11,903.60 | $24,683.90 | $32,228.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,250.30 / $60,361.58
| Facility | | $5,840.42 | $22,250.30 | $60,361.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,947.21 / $23,062.02 / $34,846.99
| Facility | | $13,947.21 | $23,062.02 | $34,846.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,750.45 / $32,750.45 / $32,750.45
| Facility | | $32,750.45 | $32,750.45 | $32,750.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,095.21 / $23,232.91 / $35,877.07
| Facility | | $20,095.21 | $23,232.91 | $35,877.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,250.30 / $60,361.58
| Facility | | $5,840.42 | $22,250.30 | $60,361.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,530.30 / $47,173.11
| Facility | | $5,840.42 | $17,530.30 | $47,173.11 |