- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,497.70 / $16,897.59 / $26,088.50
| Facility | | $11,497.70 | $16,897.59 | $26,088.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,775.92 / $23,775.92 / $25,223.27
| Facility | | $23,775.92 | $23,775.92 | $25,223.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,793.50 / $32,404.37 / $41,544.06
| Facility | | $22,793.50 | $32,404.37 | $41,544.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,940.30 / $25,018.87 / $31,644.34
| Facility | | $12,940.30 | $25,018.87 | $31,644.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,497.70 / $17,283.30 / $27,636.80
| Facility | | $11,497.70 | $17,283.30 | $27,636.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,446.48 / $22,993.65 / $34,934.03
| Facility | | $13,446.48 | $22,993.65 | $34,934.03 |