- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,269.54 / $15,147.80 / $21,447.70
| Facility | | $8,269.54 | $15,147.80 | $21,447.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,625.17 / $13,718.23 / $21,700.40
| Facility | | $8,625.17 | $13,718.23 | $21,700.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,597.82 / $13,626.24 / $24,243.25
| Facility | | $8,597.82 | $13,626.24 | $24,243.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,471.34 / $12,856.35 / $28,667.69
| Facility | | $5,471.34 | $12,856.35 | $28,667.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,576.27 / $26,463.09
| Facility | | $3,308.00 | $12,576.27 | $26,463.09 |