- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,858.20 / $12,822.20 / $21,287.90
| Facility | | $8,858.20 | $12,822.20 | $21,287.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $11,616.00 / $14,940.00
| Facility | | $7,212.00 | $11,616.00 | $14,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,702.66 / $11,539.04 / $19,547.37
| Facility | | $7,702.66 | $11,539.04 | $19,547.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,052.36 / $13,676.39 / $19,664.98
| Facility | | $11,052.36 | $13,676.39 | $19,664.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,870.63 / $13,730.26 / $34,443.25
| Facility | | $6,870.63 | $13,730.26 | $34,443.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,870.63 / $13,109.15 / $18,424.27
| Facility | | $6,870.63 | $13,109.15 | $18,424.27 |