- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $11,748.98 / $32,359.37
| Facility | | $8,709.64 | $11,748.98 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $15,488.17 / $15,488.17
| Facility | | $15,488.17 | $15,488.17 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,803.84 / $21,379.62
| Facility | | $9,549.93 | $13,803.84 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,882.50 / $16,982.44
| Facility | | $8,128.31 | $12,882.50 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $52,480.75 / $52,480.75
| Facility | | $37,153.52 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $13,182.57 / $19,498.45
| Facility | | $3,801.89 | $13,182.57 | $19,498.45 |