- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,059.92 / $14,024.60 / $15,871.10
| Facility | | $9,059.92 | $14,024.60 | $15,871.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,945.77 / $13,530.23 / $18,273.59
| Facility | | $8,945.77 | $13,530.23 | $18,273.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,366.18 / $13,026.47 / $17,592.86
| Facility | | $8,366.18 | $13,026.47 | $17,592.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,902.00 / $14,273.00 / $19,893.00
| Facility | | $8,902.00 | $14,273.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $16,208.62 / $21,572.37
| Facility | | $5,274.00 | $16,208.62 | $21,572.37 |