- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,855.40 / $12,618.90 / $21,472.90
| Facility | | $8,855.40 | $12,618.90 | $21,472.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,916.25 / $13,002.33 / $15,997.04
| Facility | | $11,916.25 | $13,002.33 | $15,997.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $14,555.33 / $22,417.57
| Facility | | $2,423.00 | $14,555.33 | $22,417.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,213.37 / $11,585.82 / $22,845.46
| Facility | | $8,213.37 | $11,585.82 | $22,845.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.00 / $2,600.00 / $23,055.03
| Facility | | $482.00 | $2,600.00 | $23,055.03 |