- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,600.22 / $11,794.60 / $18,881.40
| Facility | | $7,600.22 | $11,794.60 | $18,881.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,433.64 / $15,433.64 / $15,433.64
| Facility | | $15,433.64 | $15,433.64 | $15,433.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,258.56 / $8,284.31 / $11,756.38
| Facility | | $4,258.56 | $8,284.31 | $11,756.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,023.13 / $9,408.92 / $16,485.68
| Facility | | $7,023.13 | $9,408.92 | $16,485.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,896.14 / $10,655.70 / $14,278.95
| Facility | | $6,896.14 | $10,655.70 | $14,278.95 |