- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,106.10 / $15,582.80 / $20,206.00
| Facility | | $10,106.10 | $15,582.80 | $20,206.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,929.37 / $15,500.00 / $20,994.43
| Facility | | $8,929.37 | $15,500.00 | $20,994.43 |
- 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
- $8,360.00 / $12,451.00 / $20,259.00
| Facility | | $8,360.00 | $12,451.00 | $20,259.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $17,943.21 / $19,529.00
| Facility | | $6,098.00 | $17,943.21 | $19,529.00 |