- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,457.31 / $10,900.30 / $22,152.40
| Facility | | $8,457.31 | $10,900.30 | $22,152.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,627.57 / $11,627.57 / $11,627.57
| Facility | | $11,627.57 | $11,627.57 | $11,627.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,355.99 / $10,474.41 / $11,974.96
| Facility | | $8,355.99 | $10,474.41 | $11,974.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,750.74 / $11,949.53 / $15,540.87
| Facility | | $6,750.74 | $11,949.53 | $15,540.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,371.71 / $13,371.71 / $13,371.71
| Facility | | $13,371.71 | $13,371.71 | $13,371.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $10,857.84 / $15,264.71
| Facility | | $1,518.00 | $10,857.84 | $15,264.71 |