- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,387.21 / $31,622.78
| Facility | | $15,135.61 | $22,387.21 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $13,182.57 / $13,182.57
| Facility | | $13,182.57 | $13,182.57 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,982.44 / $28,840.32
| Facility | | $6,309.57 | $16,982.44 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,197.01 / $31,622.78
| Facility | | $13,489.63 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $20,417.38 / $30,199.52
| Facility | | $16,595.87 | $20,417.38 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,952.62 / $28,840.32
| Facility | | $10,471.29 | $19,952.62 | $28,840.32 |