- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,333.40 / $18,473.80 / $37,543.80
| Facility | | $14,333.40 | $18,473.80 | $37,543.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,155.11 / $17,155.11 / $17,671.31
| Facility | | $17,155.11 | $17,155.11 | $17,671.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,977.06 / $17,520.54 / $20,030.50
| Facility | | $13,977.06 | $17,520.54 | $20,030.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,441.14 / $20,252.03 / $26,338.63
| Facility | | $11,441.14 | $20,252.03 | $26,338.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,728.38 / $19,728.38 / $20,322.00
| Facility | | $19,728.38 | $19,728.38 | $20,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $17,571.75 / $25,870.59
| Facility | | $1,518.00 | $17,571.75 | $25,870.59 |