- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,544.78 / $11,708.60 / $18,743.70
| Facility | | $7,544.78 | $11,708.60 | $18,743.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,266.25 / $12,266.25 / $12,266.25
| Facility | | $12,266.25 | $12,266.25 | $12,266.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,763.06 / $9,265.71 / $13,149.12
| Facility | | $4,763.06 | $9,265.71 | $13,149.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,971.89 / $9,340.29 / $16,365.42
| Facility | | $6,971.89 | $9,340.29 | $16,365.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,845.83 / $10,577.96 / $14,174.79
| Facility | | $6,845.83 | $10,577.96 | $14,174.79 |