- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,541.23 / $15,645.50 / $22,152.30
| Facility | | $8,541.23 | $15,645.50 | $22,152.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,577.87 / $15,180.99 / $24,097.35
| Facility | | $9,577.87 | $15,180.99 | $24,097.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,880.29 / $14,073.93 / $25,039.76
| Facility | | $8,880.29 | $14,073.93 | $25,039.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,651.10 / $12,849.23 / $29,609.56
| Facility | | $5,651.10 | $12,849.23 | $29,609.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $12,989.46 / $26,312.60
| Facility | | $3,308.00 | $12,989.46 | $26,312.60 |