- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,781.30 / $16,689.20 / $18,886.50
| Facility | | $10,781.30 | $16,689.20 | $18,886.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,725.79 / $16,222.45 / $21,909.64
| Facility | | $10,725.79 | $16,222.45 | $21,909.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,955.70 / $15,362.71 / $20,935.40
| Facility | | $9,955.70 | $15,362.71 | $20,935.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,654.00 / $16,184.00 / $20,738.00
| Facility | | $10,654.00 | $16,184.00 | $20,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $19,288.16 / $25,670.98
| Facility | | $5,274.00 | $19,288.16 | $25,670.98 |