- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,769.50 / $13,116.20 / $23,080.70
| Facility | | $7,769.50 | $13,116.20 | $23,080.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,580.48 / $12,873.67 / $21,002.76
| Facility | | $8,580.48 | $12,873.67 | $21,002.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,067.58 / $12,089.94 / $16,946.00
| Facility | | $7,067.58 | $12,089.94 | $16,946.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,127.00 / $25,943.50 / $30,446.90
| Facility | | $19,127.00 | $25,943.50 | $30,446.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $12,471.93 / $19,361.00
| Facility | | $2,520.00 | $12,471.93 | $19,361.00 |