- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,022.64 / $15,848.93
| Facility | | $10,471.29 | $12,022.64 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $12,882.50 / $22,387.21
| Facility | | $5,370.32 | $12,882.50 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $13,182.57 / $24,547.09
| Facility | | $9,772.37 | $13,182.57 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,803.84 / $21,379.62
| Facility | | $8,709.64 | $13,803.84 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,882.50 / $20,417.38
| Facility | | $8,709.64 | $12,882.50 | $20,417.38 |