- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,884.50 / $20,063.00 / $35,305.10
| Facility | | $11,884.50 | $20,063.00 | $35,305.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,256.00 / $5,256.00 / $8,568.54
| Facility | | $5,256.00 | $5,256.00 | $8,568.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,547.19 / $7,730.45 / $12,788.29
| Facility | | $5,547.19 | $7,730.45 | $12,788.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,810.80 / $18,442.37 / $25,535.75
| Facility | | $10,810.80 | $18,442.37 | $25,535.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,889.15 / $32,889.15 / $38,598.21
| Facility | | $32,889.15 | $32,889.15 | $38,598.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,484.72 / $24,974.92
| Facility | | $1,787.00 | $17,484.72 | $24,974.92 |