- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,376.60 / $19,614.20 / $32,564.20
| Facility | | $12,376.60 | $19,614.20 | $32,564.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,838.84 / $18,838.84 / $18,838.84
| Facility | | $18,838.84 | $18,838.84 | $18,838.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,087.09 / $18,107.18 / $30,673.93
| Facility | | $12,087.09 | $18,107.18 | $30,673.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,906.81 / $20,920.79 / $30,081.54
| Facility | | $16,906.81 | $20,920.79 | $30,081.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,108.10 / $21,003.18 / $54,048.69
| Facility | | $10,108.10 | $21,003.18 | $54,048.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,108.10 / $19,844.56 / $28,183.62
| Facility | | $10,108.10 | $19,844.56 | $28,183.62 |