- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $15,848.93 / $22,387.21
| Facility | | $8,709.64 | $15,848.93 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $19,054.61
| Facility | | $7,244.36 | $13,803.84 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $7,244.36 / $15,135.61
| Facility | | $7,244.36 | $7,244.36 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $16,218.10 / $20,417.38
| Facility | | $7,585.78 | $16,218.10 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $15,488.17 / $22,908.68
| Facility | | $6,456.54 | $15,488.17 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $14,791.08 / $21,379.62
| Facility | | $8,709.64 | $14,791.08 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $8,128.31 / $13,489.63
| Facility | | $6,760.83 | $8,128.31 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $11,481.54 / $20,417.38
| Facility | | $3,981.07 | $11,481.54 | $20,417.38 |