- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,492.40 / $15,420.10 / $23,807.30
| Facility | | $10,492.40 | $15,420.10 | $23,807.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,354.78 / $16,354.78 / $16,354.78
| Facility | | $16,354.78 | $16,354.78 | $16,354.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,817.25 / $28,173.19 / $36,119.48
| Facility | | $19,817.25 | $28,173.19 | $36,119.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,808.81 / $22,831.23 / $28,877.38
| Facility | | $11,808.81 | $22,831.23 | $28,877.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,492.40 / $15,772.10 / $25,220.30
| Facility | | $10,492.40 | $15,772.10 | $25,220.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,270.73 / $20,983.10 / $31,879.42
| Facility | | $12,270.73 | $20,983.10 | $31,879.42 |