- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,649.60 / $22,083.40 / $28,832.90
| Facility | | $10,649.60 | $22,083.40 | $28,832.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,906.16 / $54,002.31
| Facility | | $5,840.42 | $19,906.16 | $54,002.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,421.30 / $19,607.48 / $28,606.44
| Facility | | $13,421.30 | $19,607.48 | $28,606.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,300.09 / $29,300.09 / $29,300.09
| Facility | | $29,300.09 | $29,300.09 | $29,300.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,978.12 / $20,785.25 / $32,097.31
| Facility | | $17,978.12 | $20,785.25 | $32,097.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,906.16 / $54,002.31
| Facility | | $5,840.42 | $19,906.16 | $54,002.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,683.43 / $42,203.28
| Facility | | $5,840.42 | $15,683.43 | $42,203.28 |