- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,061.40 / $14,256.70 / $28,973.40
| Facility | | $11,061.40 | $14,256.70 | $28,973.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,773.21 / $11,773.21 / $11,773.21
| Facility | | $11,773.21 | $11,773.21 | $11,773.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,089.49 / $13,900.91 / $15,892.33
| Facility | | $11,089.49 | $13,900.91 | $15,892.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,829.39 / $15,628.95 / $20,326.12
| Facility | | $8,829.39 | $15,628.95 | $20,326.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $12,534.03 / $19,302.72
| Facility | | $1,286.00 | $12,534.03 | $19,302.72 |