- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,614.15 / $16,411.00 / $26,674.80
| Facility | | $9,614.15 | $16,411.00 | $26,674.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,687.00 / $15,941.22 / $20,631.81
| Facility | | $9,687.00 | $15,941.22 | $20,631.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,293.68 / $13,039.34 / $20,570.83
| Facility | | $8,293.68 | $13,039.34 | $20,570.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,553.53 / $18,825.95 / $41,055.08
| Facility | | $8,553.53 | $18,825.95 | $41,055.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $13,809.42 / $18,754.29
| Facility | | $6,289.00 | $13,809.42 | $18,754.29 |