- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $22,387.21 / $37,153.52
| Facility | | $10,715.19 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $20,417.38 / $53,703.18
| Facility | | $6,165.95 | $20,417.38 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $21,379.62 / $31,622.78
| Facility | | $12,589.25 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $30,902.95
| Facility | | $30,902.95 | $30,902.95 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $19,952.62 / $53,703.18
| Facility | | $6,165.95 | $19,952.62 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $20,417.38 / $53,703.18
| Facility | | $6,165.95 | $20,417.38 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $16,218.10 / $46,773.51
| Facility | | $6,165.95 | $16,218.10 | $46,773.51 |