- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,352.23 / $15,245.90 / $19,905.59
| Facility | | $7,352.23 | $15,245.90 | $19,905.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,922.62 / $37,282.04
| Facility | | $5,840.42 | $13,922.62 | $37,282.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,614.43 / $14,244.15 / $21,523.08
| Facility | | $8,614.43 | $14,244.15 | $21,523.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,228.16 / $20,228.16 / $20,228.16
| Facility | | $20,228.16 | $20,228.16 | $20,228.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,411.71 / $14,349.70 / $22,159.30
| Facility | | $12,411.71 | $14,349.70 | $22,159.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,922.62 / $37,282.04
| Facility | | $5,840.42 | $13,922.62 | $37,282.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,922.62 / $29,136.24
| Facility | | $5,840.42 | $13,922.62 | $29,136.24 |