- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,237.29 / $15,847.20 / $17,933.59
| Facility | | $10,237.29 | $15,847.20 | $17,933.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,853.06 / $14,902.47 / $20,126.91
| Facility | | $9,853.06 | $14,902.47 | $20,126.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,453.42 / $14,587.64 / $19,879.18
| Facility | | $9,453.42 | $14,587.64 | $19,879.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,596.57 / $15,496.00 / $20,082.00
| Facility | | $9,596.57 | $15,496.00 | $20,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $14,216.27 / $24,317.30
| Facility | | $5,274.00 | $14,216.27 | $24,317.30 |