- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,050.60 / $15,497.30 / $20,095.09
| Facility | | $10,050.60 | $15,497.30 | $20,095.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,880.36 / $15,415.00 / $20,879.16
| Facility | | $8,880.36 | $15,415.00 | $20,879.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,066.00 / $11,856.00 / $18,338.00
| Facility | | $8,066.00 | $11,856.00 | $18,338.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $17,844.70 / $19,529.00
| Facility | | $6,098.00 | $17,844.70 | $19,529.00 |