- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,586.80 / $18,362.59 / $30,486.30
| Facility | | $11,586.80 | $18,362.59 | $30,486.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,778.00 / $3,778.00 / $16,320.70
| Facility | | $3,778.00 | $3,778.00 | $16,320.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.44 / $16,030.12 / $27,093.27
| Facility | | $10,471.44 | $16,030.12 | $27,093.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,343.45 / $18,702.68 / $28,162.09
| Facility | | $14,343.45 | $18,702.68 | $28,162.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,463.12 / $18,814.46 / $46,824.16
| Facility | | $9,463.12 | $18,814.46 | $46,824.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,463.12 / $18,773.53 / $26,385.27
| Facility | | $9,463.12 | $18,773.53 | $26,385.27 |