- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $14,454.40 / $18,620.87
| Facility | | $10,232.93 | $14,454.40 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $28,183.83
| Facility | | $14,791.08 | $14,791.08 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,589.25 / $16,595.87
| Facility | | $7,943.28 | $12,589.25 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,135.61 / $20,892.96
| Facility | | $7,943.28 | $15,135.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $7,943.28 / $13,489.63
| Facility | | $2,187.76 | $7,943.28 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $15,135.61 / $20,892.96
| Facility | | $7,762.47 | $15,135.61 | $20,892.96 |