- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,702.14 / $19,897.50 / $32,037.50
| Facility | | $8,702.14 | $19,897.50 | $32,037.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,607.27 / $18,173.25 / $24,240.10
| Facility | | $12,607.27 | $18,173.25 | $24,240.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,284.31 / $28,073.32
| Facility | | $1,474.01 | $10,284.31 | $28,073.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,403.21 / $20,804.08 / $29,471.48
| Facility | | $14,403.21 | $20,804.08 | $29,471.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.98 / $17,448.96 / $36,644.96
| Facility | | $12,589.98 | $17,448.96 | $36,644.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,820.69 / $17,448.96 / $37,118.12
| Facility | | $11,820.69 | $17,448.96 | $37,118.12 |