- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,229.80 / $16,503.90 / $25,480.60
| Facility | | $11,229.80 | $16,503.90 | $25,480.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,983.86 / $11,983.86 / $19,883.00
| Facility | | $11,983.86 | $11,983.86 | $19,883.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,950.20 / $26,940.54 / $34,539.16
| Facility | | $18,950.20 | $26,940.54 | $34,539.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,638.76 / $24,435.86 / $30,906.94
| Facility | | $12,638.76 | $24,435.86 | $30,906.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,229.80 / $16,880.59 / $26,992.80
| Facility | | $11,229.80 | $16,880.59 | $26,992.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,133.14 / $21,446.07 / $33,727.11
| Facility | | $13,133.14 | $21,446.07 | $33,727.11 |