- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,111.64 / $8,981.95 / $14,078.20
| Facility | | $6,111.64 | $8,981.95 | $14,078.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,373.93 / $20,373.93 / $28,196.93
| Facility | | $20,373.93 | $20,373.93 | $28,196.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,645.38 / $17,977.29 / $23,047.81
| Facility | | $12,645.38 | $17,977.29 | $23,047.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,878.43 / $13,298.81 / $16,820.58
| Facility | | $6,878.43 | $13,298.81 | $16,820.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,111.64 / $9,186.98 / $14,690.40
| Facility | | $6,111.64 | $9,186.98 | $14,690.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,147.49 / $12,222.30 / $18,569.23
| Facility | | $7,147.49 | $12,222.30 | $18,569.23 |