- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,418.04 / $19,529.59 / $25,498.70
| Facility | | $9,418.04 | $19,529.59 | $25,498.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,834.57 / $47,757.48
| Facility | | $5,840.42 | $17,834.57 | $47,757.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,034.90 / $18,246.43 / $27,570.59
| Facility | | $11,034.90 | $18,246.43 | $27,570.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,911.83 / $25,911.83 / $25,911.83
| Facility | | $25,911.83 | $25,911.83 | $25,911.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,899.13 / $18,381.65 / $28,385.58
| Facility | | $15,899.13 | $18,381.65 | $28,385.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,834.57 / $47,757.48
| Facility | | $5,840.42 | $17,834.57 | $47,757.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,834.57 / $37,322.89
| Facility | | $5,840.42 | $17,834.57 | $37,322.89 |