- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,841.59 / $20,407.90 / $26,645.40
| Facility | | $9,841.59 | $20,407.90 | $26,645.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,395.91 / $49,905.21
| Facility | | $5,840.42 | $18,395.91 | $49,905.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,531.16 / $19,067.02 / $28,810.49
| Facility | | $11,531.16 | $19,067.02 | $28,810.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,077.12 / $27,077.12 / $27,077.12
| Facility | | $27,077.12 | $27,077.12 | $27,077.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,614.14 / $19,208.30 / $29,662.13
| Facility | | $16,614.14 | $19,208.30 | $29,662.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,395.91 / $49,905.21
| Facility | | $5,840.42 | $18,395.91 | $49,905.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,493.55 / $39,001.37
| Facility | | $5,840.42 | $14,493.55 | $39,001.37 |