- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,608.33 / $17,600.09 / $24,919.90
| Facility | | $9,608.33 | $17,600.09 | $24,919.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,703.43 / $10,703.43 / $10,703.43
| Facility | | $10,703.43 | $10,703.43 | $10,703.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,989.76 / $15,832.26 / $28,168.10
| Facility | | $9,989.76 | $15,832.26 | $28,168.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $15,821.57 / $33,308.83
| Facility | | $5,264.00 | $15,821.57 | $33,308.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,612.29 / $29,599.96
| Facility | | $3,308.00 | $14,612.29 | $29,599.96 |