- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,343.81 / $15,283.80 / $21,640.30
| Facility | | $8,343.81 | $15,283.80 | $21,640.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,753.24 / $13,204.28 / $20,187.14
| Facility | | $12,753.24 | $13,204.28 | $20,187.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,386.51 / $15,396.79 / $24,827.28
| Facility | | $9,386.51 | $15,396.79 | $24,827.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,675.04 / $13,748.62 / $24,460.98
| Facility | | $8,675.04 | $13,748.62 | $24,460.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,520.48 / $12,971.81 / $28,925.16
| Facility | | $5,520.48 | $12,971.81 | $28,925.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,689.22 / $25,704.41
| Facility | | $3,308.00 | $12,689.22 | $25,704.41 |