- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,302.61 / $15,947.10 / $26,448.70
| Facility | | $10,302.61 | $15,947.10 | $26,448.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,102.83 / $14,282.78 / $16,147.05
| Facility | | $9,102.83 | $14,282.78 | $16,147.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,163.90 / $13,728.07 / $23,255.64
| Facility | | $9,163.90 | $13,728.07 | $23,255.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,731.75 / $16,991.91 / $24,432.30
| Facility | | $13,731.75 | $16,991.91 | $24,432.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.00 / $16,848.50 / $40,977.36
| Facility | | $8,787.00 | $16,848.50 | $40,977.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,536.25 / $16,287.17 / $22,890.81
| Facility | | $8,536.25 | $16,287.17 | $22,890.81 |