- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $16,982.44 / $22,387.21
| Facility | | $6,606.93 | $16,982.44 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $20,892.96
| Facility | | $14,791.08 | $14,791.08 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,982.44 / $19,498.45
| Facility | | $12,589.25 | $16,982.44 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $17,782.79 / $24,547.09
| Facility | | $14,454.40 | $17,782.79 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $19,498.45 / $25,703.96
| Facility | | $2,041.74 | $19,498.45 | $25,703.96 |