- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,986.86 / $15,975.50 / $25,722.50
| Facility | | $6,986.86 | $15,975.50 | $25,722.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,552.62 / $19,924.86
| Facility | | $1,474.01 | $7,552.62 | $19,924.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,564.18 / $16,683.00 / $23,662.34
| Facility | | $11,564.18 | $16,683.00 | $23,662.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,108.36 / $14,009.58 / $29,421.85
| Facility | | $10,108.36 | $14,009.58 | $29,421.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,490.70 / $14,009.58 / $29,801.74
| Facility | | $9,490.70 | $14,009.58 | $29,801.74 |