- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,168.60 / $14,849.10 / $19,516.90
| Facility | | $10,168.60 | $14,849.10 | $19,516.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,294.36 / $12,294.36 / $12,294.36
| Facility | | $12,294.36 | $12,294.36 | $12,294.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,315.26 / $11,752.08 / $19,877.06
| Facility | | $4,315.26 | $11,752.08 | $19,877.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,329.87 / $14,915.12 / $24,964.54
| Facility | | $10,329.87 | $14,915.12 | $24,964.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,790.67 / $16,645.47 / $24,303.75
| Facility | | $12,790.67 | $16,645.47 | $24,303.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,790.67 / $15,474.19 / $24,303.75
| Facility | | $12,790.67 | $15,474.19 | $24,303.75 |