- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,263.61 / $11,243.90 / $12,724.30
| Facility | | $7,263.61 | $11,243.90 | $12,724.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,093.31 / $10,728.43 / $14,489.55
| Facility | | $7,093.31 | $10,728.43 | $14,489.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,707.42 / $10,350.25 / $15,803.15
| Facility | | $6,707.42 | $10,350.25 | $15,803.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,505.00 / $11,604.00 / $19,082.00
| Facility | | $7,505.00 | $11,604.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $11,451.16 / $17,253.66
| Facility | | $5,274.00 | $11,451.16 | $17,253.66 |