- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,183.66 / $12,165.00 / $21,284.20
| Facility | | $9,183.66 | $12,165.00 | $21,284.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,606.16 / $10,755.22 / $17,676.91
| Facility | | $5,606.16 | $10,755.22 | $17,676.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,096.27 / $22,446.28
| Facility | | $5,843.91 | $11,096.27 | $22,446.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,808.96 / $12,649.00 / $19,003.05
| Facility | | $8,808.96 | $12,649.00 | $19,003.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,536.64 / $19,148.16
| Facility | | $3,496.00 | $12,536.64 | $19,148.16 |