- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,294.40 / $15,935.50 / $18,033.59
| Facility | | $10,294.40 | $15,935.50 | $18,033.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,946.69 / $15,044.07 / $20,318.16
| Facility | | $9,946.69 | $15,044.07 | $20,318.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,506.12 / $14,668.97 / $19,990.00
| Facility | | $9,506.12 | $14,668.97 | $19,990.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,801.62 / $15,496.00 / $20,194.00
| Facility | | $9,801.62 | $15,496.00 | $20,194.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,958.00 / $14,868.57 / $24,452.88
| Facility | | $4,958.00 | $14,868.57 | $24,452.88 |