- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $12,882.50 / $17,782.79
| Facility | | $8,511.38 | $12,882.50 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,302.69 / $18,620.87
| Facility | | $7,762.47 | $12,302.69 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $11,748.98 / $21,379.62
| Facility | | $8,511.38 | $11,748.98 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $144.54 / $223.87
| Facility | | $93.33 | $144.54 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $11,220.18 / $17,782.79
| Facility | | $5,888.44 | $11,220.18 | $17,782.79 |