- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,812.58 / $13,648.00 / $15,437.80
| Facility | | $8,812.58 | $13,648.00 | $15,437.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,751.62 / $14,749.06 / $19,919.72
| Facility | | $9,751.62 | $14,749.06 | $19,919.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,137.78 / $12,670.84 / $17,364.53
| Facility | | $8,137.78 | $12,670.84 | $17,364.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,673.00 / $14,719.00 / $19,893.00
| Facility | | $9,673.00 | $14,719.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,884.22 / $20,983.42
| Facility | | $5,274.00 | $15,884.22 | $20,983.42 |