- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,458.20 / $19,209.50 / $24,908.70
| Facility | | $12,458.20 | $19,209.50 | $24,908.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,007.57 / $19,066.00 / $25,880.59
| Facility | | $11,007.57 | $19,066.00 | $25,880.59 |
- 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
- $10,354.00 / $14,773.00 / $23,084.00
| Facility | | $10,354.00 | $14,773.00 | $23,084.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $23,603.13
| Facility | | $6,098.00 | $18,065.00 | $23,603.13 |