- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,397.60 / $13,818.70 / $15,932.20
| Facility | | $11,397.60 | $13,818.70 | $15,932.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,117.19 / $27,117.19 / $27,117.19
| Facility | | $27,117.19 | $27,117.19 | $27,117.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,702.00 / $6,578.00
| Facility | | $1,252.00 | $3,702.00 | $6,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,138.98 / $16,138.46 / $27,698.64
| Facility | | $10,138.98 | $16,138.46 | $27,698.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $15,704.93 / $24,387.74
| Facility | | $3,137.00 | $15,704.93 | $24,387.74 |