- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,456.50 / $16,123.10 / $20,906.59
| Facility | | $10,456.50 | $16,123.10 | $20,906.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,238.98 / $16,003.00 / $21,722.35
| Facility | | $9,238.98 | $16,003.00 | $21,722.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,591.00 / $12,855.00 / $20,138.00
| Facility | | $8,591.00 | $12,855.00 | $20,138.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $19,810.81
| Facility | | $6,098.00 | $18,065.00 | $19,810.81 |