- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,655.01 / $12,922.90 / $22,740.60
| Facility | | $7,655.01 | $12,922.90 | $22,740.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,640.28 / $17,640.28 / $17,640.28
| Facility | | $17,640.28 | $17,640.28 | $17,640.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,277.56 / $6,329.26 / $10,440.01
| Facility | | $4,277.56 | $6,329.26 | $10,440.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,963.43 / $11,911.78 / $16,753.46
| Facility | | $6,963.43 | $11,911.78 | $16,753.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,478.05 / $24,478.05 / $28,727.07
| Facility | | $24,478.05 | $24,478.05 | $28,727.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $11,364.00 / $16,086.79
| Facility | | $1,787.00 | $11,364.00 | $16,086.79 |