- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,960.82 / $14,808.70 / $24,560.60
| Facility | | $9,960.82 | $14,808.70 | $24,560.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,357.48 / $11,952.00 / $14,136.02
| Facility | | $7,357.48 | $11,952.00 | $14,136.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,933.69 / $13,383.20 / $22,671.42
| Facility | | $8,933.69 | $13,383.20 | $22,671.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,751.49 / $15,778.92 / $22,688.16
| Facility | | $12,751.49 | $15,778.92 | $22,688.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.00 / $15,841.07 / $25,393.90
| Facility | | $8,787.00 | $15,841.07 | $25,393.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,926.88 / $15,124.48 / $21,256.71
| Facility | | $7,926.88 | $15,124.48 | $21,256.71 |