- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,438.84 / $17,289.70 / $24,480.30
| Facility | | $9,438.84 | $17,289.70 | $24,480.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,967.78 / $16,218.68 / $26,170.99
| Facility | | $9,967.78 | $16,218.68 | $26,170.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,813.54 / $15,552.97 / $27,671.21
| Facility | | $9,813.54 | $15,552.97 | $27,671.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,244.98 / $14,676.98 / $32,721.26
| Facility | | $6,244.98 | $14,676.98 | $32,721.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,354.53 / $29,077.82
| Facility | | $3,308.00 | $14,354.53 | $29,077.82 |