- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,620.87 / $20,892.96
| Facility | | $13,489.63 | $18,620.87 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,489.63 / $33,884.42
| Facility | | $8,317.64 | $13,489.63 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $16,595.87 / $21,379.62
| Facility | | $9,120.11 | $16,595.87 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,182.57 / $33,113.11
| Facility | | $8,912.51 | $13,182.57 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,489.63 / $19,498.45
| Facility | | $9,120.11 | $13,489.63 | $19,498.45 |