- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,036.42 / $13,988.20 / $15,829.90
| Facility | | $9,036.42 | $13,988.20 | $15,829.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,039.40 / $13,671.83 / $18,464.84
| Facility | | $9,039.40 | $13,671.83 | $18,464.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,344.48 / $12,876.42 / $17,547.22
| Facility | | $8,344.48 | $12,876.42 | $17,547.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,760.00 / $14,407.00 / $19,893.00
| Facility | | $8,760.00 | $14,407.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $14,623.70 / $21,464.73
| Facility | | $5,274.00 | $14,623.70 | $21,464.73 |