- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,776.38 / $17,027.50 / $28,749.20
| Facility | | $7,776.38 | $17,027.50 | $28,749.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,496.61 / $27,447.70 / $35,591.22
| Facility | | $18,496.61 | $27,447.70 | $35,591.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,974.58 / $24,272.99 / $35,631.37
| Facility | | $16,974.58 | $24,272.99 | $35,631.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,490.87 / $24,001.51 / $50,331.93
| Facility | | $12,490.87 | $24,001.51 | $50,331.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,974.58 / $26,427.46 / $35,827.82
| Facility | | $16,974.58 | $26,427.46 | $35,827.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $22,648.93 / $33,957.26
| Facility | | $5,281.00 | $22,648.93 | $33,957.26 |