- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,451.08 / $13,082.10 / $14,804.50
| Facility | | $8,451.08 | $13,082.10 | $14,804.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,367.29 / $12,655.30 / $17,091.93
| Facility | | $8,367.29 | $12,655.30 | $17,091.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,803.96 / $12,042.33 / $16,507.00
| Facility | | $7,803.96 | $12,042.33 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,010.00 / $13,416.00 / $19,893.00
| Facility | | $8,010.00 | $13,416.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,073.50 / $20,074.33
| Facility | | $5,274.00 | $15,073.50 | $20,074.33 |