- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,748.79 / $13,543.00 / $15,326.00
| Facility | | $8,748.79 | $13,543.00 | $15,326.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.48 / $13,172.84 / $17,790.91
| Facility | | $8,709.48 | $13,172.84 | $17,790.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,078.87 / $12,466.55 / $16,988.68
| Facility | | $8,078.87 | $12,466.55 | $16,988.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,406.00 / $14,056.00 / $19,893.00
| Facility | | $8,406.00 | $14,056.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,044.00 / $10,933.64 / $20,766.64
| Facility | | $4,044.00 | $10,933.64 | $20,766.64 |