- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,541.42 / $19,785.50 / $25,832.70
| Facility | | $9,541.42 | $19,785.50 | $25,832.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,834.83 / $48,383.11
| Facility | | $5,840.42 | $17,834.83 | $48,383.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,179.46 / $18,485.47 / $27,931.77
| Facility | | $11,179.46 | $18,485.47 | $27,931.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,251.27 / $26,251.27 / $26,251.27
| Facility | | $26,251.27 | $26,251.27 | $26,251.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,107.41 / $18,622.45 / $28,757.43
| Facility | | $16,107.41 | $18,622.45 | $28,757.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,834.83 / $48,383.11
| Facility | | $5,840.42 | $17,834.83 | $48,383.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,051.50 / $37,811.83
| Facility | | $5,840.42 | $14,051.50 | $37,811.83 |