- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,498.64 / $11,607.80 / $13,136.00
| Facility | | $7,498.64 | $11,607.80 | $13,136.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,764.30 / $11,743.28 / $15,860.18
| Facility | | $7,764.30 | $11,743.28 | $15,860.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,924.45 / $10,685.16 / $16,314.50
| Facility | | $6,924.45 | $10,685.16 | $16,314.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,699.00 / $12,056.00 / $19,082.00
| Facility | | $7,699.00 | $12,056.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,415.41 / $17,811.95
| Facility | | $5,274.00 | $13,415.41 | $17,811.95 |