- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,114.70 / $20,974.20 / $27,384.80
| Facility | | $10,114.70 | $20,974.20 | $27,384.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,906.36 / $51,289.99
| Facility | | $5,840.42 | $18,906.36 | $51,289.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,851.12 / $19,596.09 / $29,609.92
| Facility | | $11,851.12 | $19,596.09 | $29,609.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,828.46 / $27,828.46 / $27,828.46
| Facility | | $27,828.46 | $27,828.46 | $27,828.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,075.15 / $19,741.29 / $30,485.19
| Facility | | $17,075.15 | $19,741.29 | $30,485.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,906.36 / $51,289.99
| Facility | | $5,840.42 | $18,906.36 | $51,289.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,895.72 / $40,083.58
| Facility | | $5,840.42 | $14,895.72 | $40,083.58 |