- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,138.14 / $14,907.10 / $21,106.80
| Facility | | $8,138.14 | $14,907.10 | $21,106.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,737.27 / $14,170.42 / $22,790.81
| Facility | | $8,737.27 | $14,170.42 | $22,790.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,461.20 / $13,409.72 / $23,858.02
| Facility | | $8,461.20 | $13,409.72 | $23,858.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,384.40 / $12,959.48 / $28,212.15
| Facility | | $5,384.40 | $12,959.48 | $28,212.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,376.43 / $25,070.79
| Facility | | $3,308.00 | $12,376.43 | $25,070.79 |