- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,026.90 / $12,425.50 / $14,061.40
| Facility | | $8,026.90 | $12,425.50 | $14,061.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,183.39 / $12,377.14 / $16,716.25
| Facility | | $8,183.39 | $12,377.14 | $16,716.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,412.26 / $11,437.91 / $16,339.00
| Facility | | $7,412.26 | $11,437.91 | $16,339.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,474.00 / $13,028.00 / $19,893.00
| Facility | | $8,474.00 | $13,028.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $14,360.50 / $19,066.75
| Facility | | $5,274.00 | $14,360.50 | $19,066.75 |