- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,082.00 / $18,738.09 / $25,750.40
| Facility | | $12,082.00 | $18,738.09 | $25,750.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,653.70 / $14,524.24 / $20,500.58
| Facility | | $10,653.70 | $14,524.24 | $20,500.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,730.03 / $17,363.33 / $26,048.29
| Facility | | $10,730.03 | $17,363.33 | $26,048.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $15,569.07 / $25,954.14
| Facility | | $7,516.00 | $15,569.07 | $25,954.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,087.50 / $16,589.11 / $22,410.52
| Facility | | $8,087.50 | $16,589.11 | $22,410.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,694.76 / $20,209.56 / $28,622.37
| Facility | | $8,694.76 | $20,209.56 | $28,622.37 |