- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,548.37 / $14,032.80 / $21,665.40
| Facility | | $9,548.37 | $14,032.80 | $21,665.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,827.01 / $14,827.01 / $14,827.01
| Facility | | $14,827.01 | $14,827.01 | $14,827.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,729.78 / $29,470.47 / $37,782.66
| Facility | | $20,729.78 | $29,470.47 | $37,782.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,746.36 / $20,777.09 / $26,279.26
| Facility | | $10,746.36 | $20,777.09 | $26,279.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,548.37 / $14,353.10 / $22,951.20
| Facility | | $9,548.37 | $14,353.10 | $22,951.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,166.72 / $19,095.23 / $29,011.21
| Facility | | $11,166.72 | $19,095.23 | $29,011.21 |