- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,641.30 / $13,771.70 / $17,980.90
| Facility | | $6,641.30 | $13,771.70 | $17,980.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,413.93 / $33,677.05
| Facility | | $5,840.42 | $12,413.93 | $33,677.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,369.83 / $12,227.66 / $17,839.62
| Facility | | $8,369.83 | $12,227.66 | $17,839.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,272.18 / $18,272.18 / $18,272.18
| Facility | | $18,272.18 | $18,272.18 | $18,272.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,211.56 / $12,962.15 / $20,016.61
| Facility | | $11,211.56 | $12,962.15 | $20,016.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,413.93 / $33,677.05
| Facility | | $5,840.42 | $12,413.93 | $33,677.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,780.54 / $26,318.92
| Facility | | $5,840.42 | $9,780.54 | $26,318.92 |