- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $11,481.54 / $25,703.96
| Facility | | $7,943.28 | $11,481.54 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $13,803.84 / $14,454.40
| Facility | | $13,803.84 | $13,803.84 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $5,623.41 / $10,964.78
| Facility | | $3,548.13 | $5,623.41 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,481.54 / $16,218.10
| Facility | | $8,317.64 | $11,481.54 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $17,782.79 / $26,915.35
| Facility | | $6,918.31 | $17,782.79 | $26,915.35 |