- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,937.93 / $13,835.70 / $15,657.40
| Facility | | $8,937.93 | $13,835.70 | $15,657.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,952.45 / $13,540.34 / $18,287.25
| Facility | | $8,952.45 | $13,540.34 | $18,287.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,253.53 / $12,736.07 / $17,355.97
| Facility | | $8,253.53 | $12,736.07 | $17,355.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,584.95 / $14,076.00 / $19,893.00
| Facility | | $8,584.95 | $14,076.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,411.84 / $21,230.78
| Facility | | $5,274.00 | $12,411.84 | $21,230.78 |