- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,057.69 / $18,782.40 / $24,523.10
| Facility | | $9,057.69 | $18,782.40 | $24,523.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,152.18 / $45,930.19
| Facility | | $5,840.42 | $17,152.18 | $45,930.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,612.68 / $17,548.30 / $26,515.69
| Facility | | $10,612.68 | $17,548.30 | $26,515.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,920.39 / $24,920.39 / $24,920.39
| Facility | | $24,920.39 | $24,920.39 | $24,920.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,290.80 / $17,678.33 / $27,299.50
| Facility | | $15,290.80 | $17,678.33 | $27,299.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,152.18 / $45,930.19
| Facility | | $5,840.42 | $17,152.18 | $45,930.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,152.18 / $35,894.85
| Facility | | $5,840.42 | $17,152.18 | $35,894.85 |