- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,308.04 / $12,329.80 / $21,572.50
| Facility | | $9,308.04 | $12,329.80 | $21,572.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,769.10 / $10,330.00 / $17,876.16
| Facility | | $8,769.10 | $10,330.00 | $17,876.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $10,850.02 / $21,242.00
| Facility | | $5,843.91 | $10,850.02 | $21,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,928.29 / $12,649.00 / $19,260.45
| Facility | | $8,928.29 | $12,649.00 | $19,260.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,706.45 / $19,407.53
| Facility | | $3,496.00 | $12,706.45 | $19,407.53 |