- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,764.68 / $16,054.80 / $22,731.80
| Facility | | $8,764.68 | $16,054.80 | $22,731.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,349.04 / $15,162.62 / $24,386.60
| Facility | | $9,349.04 | $15,162.62 | $24,386.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,112.62 / $14,442.12 / $25,694.83
| Facility | | $9,112.62 | $14,442.12 | $25,694.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,798.94 / $13,382.76 / $30,384.18
| Facility | | $5,798.94 | $13,382.76 | $30,384.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,329.28 / $27,000.97
| Facility | | $3,308.00 | $13,329.28 | $27,000.97 |