- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,316.21 / $14,457.60 / $23,144.50
| Facility | | $9,316.21 | $14,457.60 | $23,144.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,855.46 / $18,855.46 / $18,855.46
| Facility | | $18,855.46 | $18,855.46 | $18,855.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,897.61 / $11,472.80 / $16,281.21
| Facility | | $5,897.61 | $11,472.80 | $16,281.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,608.83 / $11,533.30 / $20,207.88
| Facility | | $8,608.83 | $11,533.30 | $20,207.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,453.18 / $13,061.58 / $17,502.90
| Facility | | $8,453.18 | $13,061.58 | $17,502.90 |