- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,617.80 / $14,064.70 / $24,607.90
| Facility | | $10,617.80 | $14,064.70 | $24,607.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,555.28 / $16,555.28 / $26,465.66
| Facility | | $16,555.28 | $16,555.28 | $26,465.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $12,333.66 / $24,411.72
| Facility | | $5,843.91 | $12,333.66 | $24,411.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,075.40 / $14,284.87 / $21,970.58
| Facility | | $10,075.40 | $14,284.87 | $21,970.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $14,494.37 / $22,138.35
| Facility | | $3,496.00 | $14,494.37 | $22,138.35 |