- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,218.10 / $21,379.62
| Facility | | $6,309.57 | $16,218.10 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $21,379.62
| Facility | | $13,803.84 | $19,054.61 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $16,982.44 / $23,442.29
| Facility | | $13,803.84 | $16,982.44 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $18,620.87 / $24,547.09
| Facility | | $2,041.74 | $18,620.87 | $24,547.09 |