- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,673.30 / $14,500.50 / $22,832.10
| Facility | | $10,673.30 | $14,500.50 | $22,832.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,588.58 / $13,469.10 / $19,540.72
| Facility | | $8,588.58 | $13,469.10 | $19,540.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,311.04 / $12,854.47 / $23,266.00
| Facility | | $9,311.04 | $12,854.47 | $23,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.97 / $136.33 / $217.27
| Facility | | $98.97 | $136.33 | $217.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,611.90 / $13,922.37 / $22,500.55
| Facility | | $9,611.90 | $13,922.37 | $22,500.55 |