- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,291.40 / $16,488.80 / $21,671.90
| Facility | | $11,291.40 | $16,488.80 | $21,671.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,071.53 / $18,071.53 / $18,071.53
| Facility | | $18,071.53 | $18,071.53 | $18,071.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,516.94 / $9,577.95 / $16,199.80
| Facility | | $3,516.94 | $9,577.95 | $16,199.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,470.50 / $16,562.05 / $27,721.13
| Facility | | $11,470.50 | $16,562.05 | $27,721.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,203.02 / $18,483.47 / $26,987.37
| Facility | | $14,203.02 | $18,483.47 | $26,987.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,203.02 / $17,182.84 / $26,987.37
| Facility | | $14,203.02 | $17,182.84 | $26,987.37 |