- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,445.48 / $13,073.40 / $14,794.70
| Facility | | $8,445.48 | $13,073.40 | $14,794.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,423.03 / $12,739.59 / $17,205.77
| Facility | | $8,423.03 | $12,739.59 | $17,205.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,798.79 / $12,034.36 / $16,507.00
| Facility | | $7,798.79 | $12,034.36 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,876.00 / $13,787.00 / $19,893.00
| Facility | | $8,876.00 | $13,787.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,109.36 / $20,109.34
| Facility | | $5,274.00 | $15,109.36 | $20,109.34 |