- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,478.79 / $21,729.20 / $28,370.60
| Facility | | $10,478.79 | $21,729.20 | $28,370.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,843.25 / $53,136.35
| Facility | | $5,840.42 | $19,843.25 | $53,136.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,277.74 / $20,301.52 / $30,675.84
| Facility | | $12,277.74 | $20,301.52 | $30,675.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,830.24 / $28,830.24 / $28,830.24
| Facility | | $28,830.24 | $28,830.24 | $28,830.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,689.83 / $20,451.95 / $31,582.61
| Facility | | $17,689.83 | $20,451.95 | $31,582.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,843.25 / $53,136.35
| Facility | | $5,840.42 | $19,843.25 | $53,136.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,843.25 / $41,526.53
| Facility | | $5,840.42 | $19,843.25 | $41,526.53 |