- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,881.57 / $14,278.40 / $19,153.20
| Facility | | $6,881.57 | $14,278.40 | $19,153.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,373.04 / $9,373.04 / $9,373.04
| Facility | | $9,373.04 | $9,373.04 | $9,373.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $10,269.21 / $12,210.58
| Facility | | $3,897.00 | $10,269.21 | $12,210.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,136.64 / $14,744.00 / $23,206.61
| Facility | | $12,136.64 | $14,744.00 | $23,206.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $18,215.82 / $23,005.30
| Facility | | $1,350.00 | $18,215.82 | $23,005.30 |