- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,288.90 / $15,121.10 / $23,345.70
| Facility | | $10,288.90 | $15,121.10 | $23,345.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,549.09 / $20,549.09 / $21,000.41
| Facility | | $20,549.09 | $20,549.09 | $21,000.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,984.70 / $29,832.89 / $38,247.29
| Facility | | $20,984.70 | $29,832.89 | $38,247.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,579.84 / $22,388.53 / $28,317.44
| Facility | | $11,579.84 | $22,388.53 | $28,317.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,288.90 / $15,466.30 / $24,731.20
| Facility | | $10,288.90 | $15,466.30 | $24,731.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,541.62 / $20,576.23 / $31,261.27
| Facility | | $13,541.62 | $20,576.23 | $31,261.27 |