- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,441.18 / $20,266.20 / $33,646.69
| Facility | | $15,441.18 | $20,266.20 | $33,646.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,060.08 / $19,060.08 / $19,060.08
| Facility | | $19,060.08 | $19,060.08 | $19,060.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,389.50 / $17,435.52 / $29,468.61
| Facility | | $11,389.50 | $17,435.52 | $29,468.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,468.83 / $22,153.13 / $33,749.00
| Facility | | $17,468.83 | $22,153.13 | $33,749.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,444.11 / $20,764.86 / $50,929.36
| Facility | | $10,444.11 | $20,764.86 | $50,929.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,444.11 / $20,719.68 / $29,120.50
| Facility | | $10,444.11 | $20,719.68 | $29,120.50 |