- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,083.10 / $13,356.50 / $23,368.80
| Facility | | $10,083.10 | $13,356.50 | $23,368.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,496.08 / $10,833.12 / $18,289.15
| Facility | | $9,496.08 | $10,833.12 | $18,289.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $12,186.10 / $23,354.24
| Facility | | $5,843.91 | $12,186.10 | $23,354.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,568.04 / $13,565.56 / $20,864.25
| Facility | | $9,568.04 | $13,565.56 | $20,864.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,764.50 / $21,023.58
| Facility | | $3,496.00 | $13,764.50 | $21,023.58 |