- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,544.56 / $15,915.40 / $26,481.70
| Facility | | $9,544.56 | $15,915.40 | $26,481.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,640.00 / $14,432.97 / $17,316.53
| Facility | | $9,640.00 | $14,432.97 | $17,316.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,184.40 / $14,523.99 / $21,975.93
| Facility | | $8,184.40 | $14,523.99 | $21,975.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,669.03 / $9,789.23 / $20,596.23
| Facility | | $4,669.03 | $9,789.23 | $20,596.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,292.00 / $14,016.00 / $20,640.79
| Facility | | $6,292.00 | $14,016.00 | $20,640.79 |