- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,290.48 / $14,381.50 / $16,274.90
| Facility | | $9,290.48 | $14,381.50 | $16,274.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,302.45 / $14,069.68 / $19,002.16
| Facility | | $9,302.45 | $14,069.68 | $19,002.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,579.08 / $13,238.43 / $18,040.56
| Facility | | $8,579.08 | $13,238.43 | $18,040.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,870.45 / $14,531.72 / $19,893.00
| Facility | | $8,870.45 | $14,531.72 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $16,621.09 / $22,121.33
| Facility | | $5,274.00 | $16,621.09 | $22,121.33 |