- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,022.40 / $15,514.50 / $17,557.20
| Facility | | $10,022.40 | $15,514.50 | $17,557.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,962.29 / $15,067.68 / $20,350.03
| Facility | | $9,962.29 | $15,067.68 | $20,350.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,254.99 / $13,610.70 / $19,461.90
| Facility | | $9,254.99 | $13,610.70 | $19,461.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,513.00 / $15,467.00 / $19,893.00
| Facility | | $9,513.00 | $15,467.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $17,930.59 / $23,864.18
| Facility | | $5,274.00 | $17,930.59 | $23,864.18 |