- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,538.06 / $15,639.70 / $22,144.10
| Facility | | $8,538.06 | $15,639.70 | $22,144.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,339.06 / $15,130.11 / $23,947.76
| Facility | | $9,339.06 | $15,130.11 | $23,947.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,877.00 / $14,068.70 / $25,030.45
| Facility | | $8,877.00 | $14,068.70 | $25,030.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,649.00 / $13,273.81 / $29,598.55
| Facility | | $5,649.00 | $13,273.81 | $29,598.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,649.00 / $14,033.54 / $29,598.55
| Facility | | $5,649.00 | $14,033.54 | $29,598.55 |