- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,829.04 / $16,777.80 / $27,271.00
| Facility | | $9,829.04 | $16,777.80 | $27,271.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,395.56 / $13,683.60 / $19,668.03
| Facility | | $10,395.56 | $13,683.60 | $19,668.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,479.07 / $13,330.80 / $21,030.63
| Facility | | $8,479.07 | $13,330.80 | $21,030.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,494.36 / $18,355.08 / $38,002.74
| Facility | | $8,494.36 | $18,355.08 | $38,002.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $14,118.09 / $19,151.75
| Facility | | $6,289.00 | $14,118.09 | $19,151.75 |