- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,276.50 / $15,907.80 / $18,002.20
| Facility | | $10,276.50 | $15,907.80 | $18,002.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,286.64 / $15,558.24 / $21,012.58
| Facility | | $10,286.64 | $15,558.24 | $21,012.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,489.60 / $13,955.72 / $19,955.24
| Facility | | $9,489.60 | $13,955.72 | $19,955.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,896.91 / $15,496.00 / $20,345.00
| Facility | | $9,896.91 | $15,496.00 | $20,345.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $18,385.12 / $24,469.11
| Facility | | $5,274.00 | $18,385.12 | $24,469.11 |