- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,472.40 / $16,211.00 / $18,345.30
| Facility | | $10,472.40 | $16,211.00 | $18,345.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,491.72 / $15,868.43 / $21,431.51
| Facility | | $10,491.72 | $15,868.43 | $21,431.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,670.45 / $14,221.70 / $20,335.57
| Facility | | $9,670.45 | $14,221.70 | $20,335.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,654.00 / $15,777.00 / $20,666.00
| Facility | | $10,654.00 | $15,777.00 | $20,666.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $18,735.52 / $24,875.58
| Facility | | $5,274.00 | $18,735.52 | $24,875.58 |