- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,296.08 / $14,390.10 / $16,284.70
| Facility | | $9,296.08 | $14,390.10 | $16,284.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,100.70 / $13,764.55 / $18,590.07
| Facility | | $9,100.70 | $13,764.55 | $18,590.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,584.25 / $13,246.41 / $18,051.43
| Facility | | $8,584.25 | $13,246.41 | $18,051.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,916.00 / $14,515.00 / $19,893.00
| Facility | | $8,916.00 | $14,515.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,008.00 / $12,909.19 / $22,134.66
| Facility | | $4,008.00 | $12,909.19 | $22,134.66 |