- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,598.81 / $13,310.80 / $15,063.30
| Facility | | $8,598.81 | $13,310.80 | $15,063.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,679.39 / $13,127.32 / $17,729.43
| Facility | | $8,679.39 | $13,127.32 | $17,729.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,940.38 / $12,252.85 / $16,697.46
| Facility | | $7,940.38 | $12,252.85 | $16,697.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,336.00 / $13,547.00 / $19,893.00
| Facility | | $8,336.00 | $13,547.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,383.67 / $20,474.43
| Facility | | $5,274.00 | $15,383.67 | $20,474.43 |