- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,625.11 / $11,803.50 / $13,357.60
| Facility | | $7,625.11 | $11,803.50 | $13,357.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,471.16 / $11,299.91 / $15,261.39
| Facility | | $7,471.16 | $11,299.91 | $15,261.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,041.24 / $10,865.37 / $15,924.00
| Facility | | $7,041.24 | $10,865.37 | $15,924.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,990.00 / $12,306.00 / $19,893.00
| Facility | | $7,990.00 | $12,306.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,743.86 / $18,155.96
| Facility | | $5,274.00 | $13,743.86 | $18,155.96 |