- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,432.04 / $15,445.50 / $21,869.10
| Facility | | $8,432.04 | $15,445.50 | $21,869.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,954.50 / $12,615.72 / $19,852.31
| Facility | | $7,954.50 | $12,615.72 | $19,852.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,766.78 / $13,894.02 / $24,719.66
| Facility | | $8,766.78 | $13,894.02 | $24,719.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,578.86 / $12,823.41 / $29,231.05
| Facility | | $5,578.86 | $12,823.41 | $29,231.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,823.41 / $25,976.23
| Facility | | $3,308.00 | $12,823.41 | $25,976.23 |