- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,779.02 / $13,453.30 / $22,335.60
| Facility | | $9,779.02 | $13,453.30 | $22,335.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,194.69 / $7,194.69 / $7,194.69
| Facility | | $7,194.69 | $7,194.69 | $7,194.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,051.80 / $12,326.03 / $20,433.40
| Facility | | $8,051.80 | $12,326.03 | $20,433.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,596.28 / $14,490.00 / $21,373.00
| Facility | | $11,596.28 | $14,490.00 | $21,373.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,208.75 / $14,405.97 / $36,004.47
| Facility | | $7,208.75 | $14,405.97 | $36,004.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,208.75 / $13,754.30 / $19,330.98
| Facility | | $7,208.75 | $13,754.30 | $19,330.98 |