- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,996.25 / $18,283.40 / $29,438.70
| Facility | | $7,996.25 | $18,283.40 | $29,438.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,428.19 / $23,428.19 / $23,428.19
| Facility | | $23,428.19 | $23,428.19 | $23,428.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,550.39 / $25,066.87
| Facility | | $1,474.01 | $8,550.39 | $25,066.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,234.86 / $19,116.52 / $27,080.84
| Facility | | $13,234.86 | $19,116.52 | $27,080.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,568.72 / $16,033.55 / $33,672.43
| Facility | | $11,568.72 | $16,033.55 | $33,672.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,861.83 / $16,033.55 / $34,107.21
| Facility | | $10,861.83 | $16,033.55 | $34,107.21 |