- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,069.91 / $14,075.40 / $22,532.60
| Facility | | $9,069.91 | $14,075.40 | $22,532.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,112.33 / $16,112.33 / $16,112.33
| Facility | | $16,112.33 | $16,112.33 | $16,112.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,706.42 / $10,921.90 / $15,753.42
| Facility | | $5,706.42 | $10,921.90 | $15,753.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,381.21 / $11,228.37 / $19,673.59
| Facility | | $8,381.21 | $11,228.37 | $19,673.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,229.68 / $12,903.00 / $17,413.36
| Facility | | $8,229.68 | $12,903.00 | $17,413.36 |