- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,123.60 / $11,938.80 / $18,432.50
| Facility | | $8,123.60 | $11,938.80 | $18,432.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,932.83 / $19,932.83 / $33,226.39
| Facility | | $19,932.83 | $19,932.83 | $33,226.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,749.49 / $19,546.96 / $25,060.20
| Facility | | $13,749.49 | $19,546.96 | $25,060.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,142.83 / $17,676.80 / $22,357.96
| Facility | | $9,142.83 | $17,676.80 | $22,357.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,123.60 / $12,211.40 / $19,526.50
| Facility | | $8,123.60 | $12,211.40 | $19,526.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,500.45 / $16,245.91 / $24,682.25
| Facility | | $9,500.45 | $16,245.91 | $24,682.25 |