- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,015.71 / $12,408.20 / $14,041.80
| Facility | | $8,015.71 | $12,408.20 | $14,041.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,806.65 / $11,807.34 / $15,946.70
| Facility | | $7,806.65 | $11,807.34 | $15,946.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,401.93 / $11,525.09 / $15,989.00
| Facility | | $7,401.93 | $11,525.09 | $15,989.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,424.19 / $13,020.00 / $19,893.00
| Facility | | $8,424.19 | $13,020.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $14,340.47 / $19,040.18
| Facility | | $5,274.00 | $14,340.47 | $19,040.18 |