- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,818.50 / $21,639.40 / $28,441.60
| Facility | | $14,818.50 | $21,639.40 | $28,441.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,889.08 / $17,589.58 / $32,835.26
| Facility | | $16,889.08 | $17,589.58 | $32,835.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,088.25 / $13,857.24 / $23,437.65
| Facility | | $5,088.25 | $13,857.24 | $23,437.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,053.55 / $21,735.55 / $36,380.41
| Facility | | $15,053.55 | $21,735.55 | $36,380.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,639.63 / $24,257.17 / $35,417.44
| Facility | | $18,639.63 | $24,257.17 | $35,417.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,639.63 / $22,550.27 / $35,417.44
| Facility | | $18,639.63 | $22,550.27 | $35,417.44 |