- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $9,772.37 / $16,982.44
| Facility | | $8,128.31 | $9,772.37 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $9,332.54 / $10,232.93
| Facility | | $9,332.54 | $9,332.54 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $10,000.00 / $15,848.93
| Facility | | $5,754.40 | $10,000.00 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $13,182.57 / $17,378.01
| Facility | | $8,511.38 | $13,182.57 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,022.64 / $18,620.87
| Facility | | $8,128.31 | $12,022.64 | $18,620.87 |