- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $21,877.62
| Facility | | $10,471.29 | $14,454.40 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,882.50 / $19,498.45
| Facility | | $8,128.31 | $12,882.50 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $12,589.25 / $22,387.21
| Facility | | $8,511.38 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $141.25 / $208.93
| Facility | | $100.00 | $141.25 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,803.84 / $20,417.38
| Facility | | $9,332.54 | $13,803.84 | $20,417.38 |