- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,794.67 / $13,614.00 / $15,406.40
| Facility | | $8,794.67 | $13,614.00 | $15,406.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,560.33 / $11,434.78 / $15,443.53
| Facility | | $7,560.33 | $11,434.78 | $15,443.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,115.74 / $12,531.94 / $16,507.00
| Facility | | $8,115.74 | $12,531.94 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,933.24 / $12,456.00 / $19,893.00
| Facility | | $7,933.24 | $12,456.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,801.10 / $20,890.49
| Facility | | $5,274.00 | $12,801.10 | $20,890.49 |