- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,052.87 / $16,582.70 / $23,479.30
| Facility | | $9,052.87 | $16,582.70 | $23,479.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,920.34 / $14,357.27 / $22,928.63
| Facility | | $8,920.34 | $14,357.27 | $22,928.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,348.00 / $14,917.01 / $26,539.72
| Facility | | $9,348.00 | $14,917.01 | $26,539.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,989.62 / $13,457.23 / $31,383.27
| Facility | | $5,989.62 | $13,457.23 | $31,383.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,318.35 / $27,888.81
| Facility | | $3,308.00 | $13,318.35 | $27,888.81 |