- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,489.40 / $21,100.20 / $32,127.30
| Facility | | $15,489.40 | $21,100.20 | $32,127.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,653.27 / $30,653.27 / $30,653.27
| Facility | | $30,653.27 | $30,653.27 | $30,653.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,323.42 / $20,407.03 / $30,424.30
| Facility | | $13,323.42 | $20,407.03 | $30,424.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,685.74 / $20,274.54 / $36,696.00
| Facility | | $14,685.74 | $20,274.54 | $36,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.60 / $209.30 / $342.69
| Facility | | $146.60 | $209.30 | $342.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,348.10 / $22,357.04 / $35,488.69
| Facility | | $15,348.10 | $22,357.04 | $35,488.69 |