- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,411.91 / $13,021.50 / $14,735.90
| Facility | | $8,411.91 | $13,021.50 | $14,735.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,331.62 / $12,601.35 / $17,019.08
| Facility | | $8,331.62 | $12,601.35 | $17,019.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,767.79 / $11,986.52 / $16,507.00
| Facility | | $7,767.79 | $11,986.52 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,054.00 / $13,400.00 / $19,893.00
| Facility | | $8,054.00 | $13,400.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,049.29 / $19,981.29
| Facility | | $5,274.00 | $15,049.29 | $19,981.29 |