- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,386.17 / $12,981.60 / $14,690.80
| Facility | | $8,386.17 | $12,981.60 | $14,690.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,338.32 / $12,611.46 / $17,032.74
| Facility | | $8,338.32 | $12,611.46 | $17,032.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,744.02 / $11,949.84 / $16,507.00
| Facility | | $7,744.02 | $11,949.84 | $16,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,331.49 / $13,364.00 / $20,738.00
| Facility | | $8,331.49 | $13,364.00 | $20,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,003.23 / $19,968.09
| Facility | | $5,274.00 | $15,003.23 | $19,968.09 |