- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,228.91 / $15,073.40 / $21,342.30
| Facility | | $8,228.91 | $15,073.40 | $21,342.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,110.83 / $14,636.89 / $23,418.25
| Facility | | $9,110.83 | $14,636.89 | $23,418.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,555.58 / $13,559.30 / $24,124.14
| Facility | | $8,555.58 | $13,559.30 | $24,124.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,444.46 / $12,793.18 / $28,526.84
| Facility | | $5,444.46 | $12,793.18 | $28,526.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,514.48 / $25,350.44
| Facility | | $3,308.00 | $12,514.48 | $25,350.44 |