- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,360.86 / $12,287.50 / $18,970.90
| Facility | | $8,360.86 | $12,287.50 | $18,970.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.00 / $15,248.09 / $17,783.41
| Facility | | $110.00 | $15,248.09 | $17,783.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,842.44 / $22,522.40 / $28,874.87
| Facility | | $15,842.44 | $22,522.40 | $28,874.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,409.85 / $18,193.06 / $23,010.93
| Facility | | $9,409.85 | $18,193.06 | $23,010.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,360.86 / $12,568.00 / $20,096.80
| Facility | | $8,360.86 | $12,568.00 | $20,096.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,777.93 / $16,720.38 / $25,403.11
| Facility | | $9,777.93 | $16,720.38 | $25,403.11 |