- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,733.64 / $16,036.80 / $20,938.30
| Facility | | $7,733.64 | $16,036.80 | $20,938.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,455.74 / $39,216.14
| Facility | | $5,840.42 | $14,455.74 | $39,216.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,061.33 / $14,983.10 / $22,639.64
| Facility | | $9,061.33 | $14,983.10 | $22,639.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,277.54 / $21,277.54 / $21,277.54
| Facility | | $21,277.54 | $21,277.54 | $21,277.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,055.60 / $15,094.12 / $23,308.87
| Facility | | $13,055.60 | $15,094.12 | $23,308.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,455.74 / $39,216.14
| Facility | | $5,840.42 | $14,455.74 | $39,216.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,389.21 / $30,647.76
| Facility | | $5,840.42 | $11,389.21 | $30,647.76 |