- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,332.54 / $15,135.61
| Facility | | $6,309.57 | $9,332.54 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $7,079.46 / $13,182.57
| Facility | | $3,715.35 | $7,079.46 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $9,772.37 / $18,197.01
| Facility | | $5,888.44 | $9,772.37 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $25,118.86 / $25,118.86
| Facility | | $23,442.29 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $8,912.51 / $15,135.61
| Facility | | $3,630.78 | $8,912.51 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,511.38 / $19,498.45
| Facility | | $5,888.44 | $8,511.38 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $7,943.28 / $18,197.01
| Facility | | $3,388.44 | $7,943.28 | $18,197.01 |