- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,897.82 / $20,344.90 / $32,757.80
| Facility | | $8,897.82 | $20,344.90 | $32,757.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,303.10 / $24,303.10 / $24,303.10
| Facility | | $24,303.10 | $24,303.10 | $24,303.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,784.92 / $27,739.03
| Facility | | $1,474.01 | $10,784.92 | $27,739.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,727.07 / $21,271.87 / $30,134.16
| Facility | | $14,727.07 | $21,271.87 | $30,134.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,873.08 / $17,406.56 / $37,468.94
| Facility | | $12,873.08 | $17,406.56 | $37,468.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,086.48 / $17,841.31 / $37,952.74
| Facility | | $12,086.48 | $17,841.31 | $37,952.74 |