- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,183.62 / $11,796.30 / $31,778.00
| Facility | | $9,183.62 | $11,796.30 | $31,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,016.52 / $10,142.10 / $12,776.92
| Facility | | $8,016.52 | $10,142.10 | $12,776.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,072.53 / $10,826.93 / $22,102.31
| Facility | | $7,072.53 | $10,826.93 | $22,102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,157.56 / $12,881.33 / $22,497.36
| Facility | | $10,157.56 | $12,881.33 | $22,497.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,439.04 / $12,694.42 / $31,625.59
| Facility | | $8,439.04 | $12,694.42 | $31,625.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,314.38 / $12,047.83 / $16,932.63
| Facility | | $6,314.38 | $12,047.83 | $16,932.63 |