- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $16,218.10 / $34,673.69
| Facility | | $7,079.46 | $16,218.10 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $36,307.81
| Facility | | $18,197.01 | $25,703.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,848.93 / $28,183.83
| Facility | | $10,471.29 | $15,848.93 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $21,877.62 / $54,954.09
| Facility | | $11,220.18 | $21,877.62 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $8,317.64 / $8,317.64
| Facility | | $8,317.64 | $8,317.64 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $18,197.01 / $30,199.52
| Facility | | $5,623.41 | $18,197.01 | $30,199.52 |