- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,886.77 / $20,319.59 / $32,717.20
| Facility | | $8,886.77 | $20,319.59 | $32,717.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,126.06 / $7,126.06 / $7,126.06
| Facility | | $7,126.06 | $7,126.06 | $7,126.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,442.66 / $28,068.69
| Facility | | $1,474.01 | $10,442.66 | $28,068.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,708.79 / $21,245.46 / $30,096.75
| Facility | | $14,708.79 | $21,245.46 | $30,096.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,857.10 / $17,819.16 / $37,422.43
| Facility | | $12,857.10 | $17,819.16 | $37,422.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,071.48 / $17,819.16 / $37,905.62
| Facility | | $12,071.48 | $17,819.16 | $37,905.62 |