- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $21,379.62 / $34,673.69
| Facility | | $14,125.38 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,791.08 / $24,547.09
| Facility | | $7,413.10 | $14,791.08 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $23,442.29 / $40,738.03
| Facility | | $13,182.57 | $23,442.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $52,480.75
| Facility | | $52,480.75 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $19,054.61 / $34,673.69
| Facility | | $8,128.31 | $19,054.61 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $43,651.58
| Facility | | $13,182.57 | $19,054.61 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $17,782.79 / $40,738.03
| Facility | | $5,888.44 | $17,782.79 | $40,738.03 |