- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,672.11 / $15,082.50 / $19,218.40
| Facility | | $9,672.11 | $15,082.50 | $19,218.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,202.29 / $19,202.29 / $19,202.29
| Facility | | $19,202.29 | $19,202.29 | $19,202.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,647.81 / $15,450.07 / $18,198.18
| Facility | | $8,647.81 | $15,450.07 | $18,198.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,232.37 / $15,668.82 / $21,950.87
| Facility | | $8,232.37 | $15,668.82 | $21,950.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,889.42 / $17,092.50 / $21,950.87
| Facility | | $14,889.42 | $17,092.50 | $21,950.87 |