- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,588.84 / $15,732.70 / $22,275.80
| Facility | | $8,588.84 | $15,732.70 | $22,275.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,609.00 / $15,342.37 / $24,073.75
| Facility | | $9,609.00 | $15,342.37 | $24,073.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,929.79 / $14,152.38 / $25,179.33
| Facility | | $8,929.79 | $14,152.38 | $25,179.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,682.60 / $12,635.67 / $29,774.61
| Facility | | $5,682.60 | $12,635.67 | $29,774.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,061.86 / $26,459.27
| Facility | | $3,308.00 | $13,061.86 | $26,459.27 |