- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,590.52 / $14,005.00 / $18,407.40
| Facility | | $9,590.52 | $14,005.00 | $18,407.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,509.45 / $12,280.92 / $20,771.53
| Facility | | $4,509.45 | $12,280.92 | $20,771.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,742.65 / $14,067.25 / $23,545.39
| Facility | | $9,742.65 | $14,067.25 | $23,545.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,063.57 / $15,699.23 / $22,922.16
| Facility | | $12,063.57 | $15,699.23 | $22,922.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,063.57 / $14,594.53 / $22,922.16
| Facility | | $12,063.57 | $14,594.53 | $22,922.16 |