- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,140.70 / $26,255.30 / $36,080.69
| Facility | | $16,140.70 | $26,255.30 | $36,080.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,691.61 / $18,691.61 / $18,691.61
| Facility | | $18,691.61 | $18,691.61 | $18,691.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,733.12 / $23,607.74 / $35,766.24
| Facility | | $14,733.12 | $23,607.74 | $35,766.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $21,814.94 / $36,366.21
| Facility | | $7,516.00 | $21,814.94 | $36,366.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $21,544.21 / $33,152.44
| Facility | | $7,516.00 | $21,544.21 | $33,152.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $28,073.03 / $40,104.86
| Facility | | $10,403.00 | $28,073.03 | $40,104.86 |