- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,808.30 / $22,412.50 / $29,262.70
| Facility | | $10,808.30 | $22,412.50 | $29,262.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $20,202.88 / $54,807.23
| Facility | | $5,840.42 | $20,202.88 | $54,807.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,663.82 / $20,939.90 / $31,640.44
| Facility | | $12,663.82 | $20,939.90 | $31,640.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,736.82 / $29,736.82 / $29,736.82
| Facility | | $29,736.82 | $29,736.82 | $29,736.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,246.09 / $21,095.07 / $32,575.74
| Facility | | $18,246.09 | $21,095.07 | $32,575.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $20,202.88 / $54,807.23
| Facility | | $5,840.42 | $20,202.88 | $54,807.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,202.88 / $47,701.31
| Facility | | $3,775.00 | $20,202.88 | $47,701.31 |