- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,256.50 / $14,910.80 / $26,088.20
| Facility | | $11,256.50 | $14,910.80 | $26,088.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,088.84 / $7,088.84 / $8,350.29
| Facility | | $7,088.84 | $7,088.84 | $8,350.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $12,111.79 / $24,623.76
| Facility | | $5,843.91 | $12,111.79 | $24,623.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,305.24 / $15,144.18 / $23,292.23
| Facility | | $10,305.24 | $15,144.18 | $23,292.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $15,366.28 / $23,470.09
| Facility | | $3,496.00 | $15,366.28 | $23,470.09 |