- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,749.70 / $23,470.20 / $38,148.90
| Facility | | $13,749.70 | $23,470.20 | $38,148.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,640.00 / $22,450.84 / $27,245.60
| Facility | | $9,640.00 | $22,450.84 | $27,245.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,790.27 / $18,648.22 / $29,419.36
| Facility | | $11,790.27 | $18,648.22 | $29,419.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,288.44 / $15,529.50 / $29,704.27
| Facility | | $8,288.44 | $15,529.50 | $29,704.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,505.00 / $19,477.03 / $26,791.05
| Facility | | $6,505.00 | $19,477.03 | $26,791.05 |