- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,715.52 / $14,278.40 / $22,044.60
| Facility | | $9,715.52 | $14,278.40 | $22,044.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,576.06 / $30,576.06 / $30,576.06
| Facility | | $30,576.06 | $30,576.06 | $30,576.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,682.89 / $30,825.47 / $39,519.83
| Facility | | $21,682.89 | $30,825.47 | $39,519.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,934.48 / $21,140.79 / $26,739.27
| Facility | | $10,934.48 | $21,140.79 | $26,739.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,715.52 / $14,604.30 / $23,352.90
| Facility | | $9,715.52 | $14,604.30 | $23,352.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,362.19 / $19,429.49 / $29,519.04
| Facility | | $11,362.19 | $19,429.49 | $29,519.04 |