- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.60 / $17,609.50 / $17,609.50
| Facility | | $15,848.60 | $17,609.50 | $17,609.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,068.39 / $13,707.42 / $22,761.25
| Facility | | $8,068.39 | $13,707.42 | $22,761.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,185.82 / $16,890.78 / $31,548.91
| Facility | | $10,185.82 | $16,890.78 | $31,548.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,556.40 / $19,879.66 / $30,470.65
| Facility | | $14,556.40 | $19,879.66 | $30,470.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $26,308.21 / $33,968.31
| Facility | | $6,965.00 | $26,308.21 | $33,968.31 |