- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,960.32 / $13,084.70 / $17,197.80
| Facility | | $8,960.32 | $13,084.70 | $17,197.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,823.24 / $10,823.24 / $10,823.24
| Facility | | $10,823.24 | $10,823.24 | $10,823.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,761.78 / $10,328.16 / $17,327.61
| Facility | | $3,761.78 | $10,328.16 | $17,327.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,102.45 / $13,142.88 / $21,998.22
| Facility | | $9,102.45 | $13,142.88 | $21,998.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,270.87 / $14,667.63 / $21,415.94
| Facility | | $11,270.87 | $14,667.63 | $21,415.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,270.87 / $13,635.52 / $21,415.94
| Facility | | $11,270.87 | $13,635.52 | $21,415.94 |