- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,958.08 / $15,781.40 / $26,200.80
| Facility | | $9,958.08 | $15,781.40 | $26,200.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,221.50 / $12,316.29 / $20,864.06
| Facility | | $8,221.50 | $12,316.29 | $20,864.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,603.06 / $17,250.75 / $25,612.00
| Facility | | $13,603.06 | $17,250.75 | $25,612.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,456.25 / $16,169.70 / $36,763.31
| Facility | | $8,456.25 | $16,169.70 | $36,763.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,456.25 / $16,134.53 / $22,676.28
| Facility | | $8,456.25 | $16,134.53 | $22,676.28 |