- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,659.70 / $12,795.60 / $22,387.50
| Facility | | $9,659.70 | $12,795.60 | $22,387.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,282.43 / $6,427.43 / $25,208.88
| Facility | | $6,282.43 | $6,427.43 | $25,208.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,377.00 / $10,929.17 / $22,043.95
| Facility | | $5,377.00 | $10,929.17 | $22,043.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,181.00 / $13,109.77 / $19,988.09
| Facility | | $9,181.00 | $13,109.77 | $19,988.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,186.49 / $20,140.74
| Facility | | $3,496.00 | $13,186.49 | $20,140.74 |