- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,463.39 / $13,101.20 / $14,826.10
| Facility | | $8,463.39 | $13,101.20 | $14,826.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,361.71 / $12,646.87 / $17,080.55
| Facility | | $8,361.71 | $12,646.87 | $17,080.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,815.33 / $12,168.77 / $16,507.00
| Facility | | $7,815.33 | $12,168.77 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,423.65 / $13,868.00 / $19,893.00
| Facility | | $8,423.65 | $13,868.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,940.92 / $20,103.58
| Facility | | $5,274.00 | $13,940.92 | $20,103.58 |