- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,747.90 / $10,831.00 / $10,831.00
| Facility | | $9,747.90 | $10,831.00 | $10,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,687.06 / $11,614.69 / $19,880.90
| Facility | | $8,687.06 | $11,614.69 | $19,880.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,019.58 / $9,825.33 / $21,355.07
| Facility | | $6,019.58 | $9,825.33 | $21,355.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,953.12 / $12,682.00 / $18,741.41
| Facility | | $8,953.12 | $12,682.00 | $18,741.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $16,181.26 / $20,892.71
| Facility | | $6,965.00 | $16,181.26 | $20,892.71 |