- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,565.99 / $15,690.80 / $22,216.50
| Facility | | $8,565.99 | $15,690.80 | $22,216.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,491.14 / $15,041.06 / $23,879.13
| Facility | | $9,491.14 | $15,041.06 | $23,879.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,906.04 / $14,114.72 / $25,112.33
| Facility | | $8,906.04 | $14,114.72 | $25,112.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,667.48 / $13,028.13 / $29,695.38
| Facility | | $5,667.48 | $13,028.13 | $29,695.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,027.11 / $26,388.87
| Facility | | $3,308.00 | $13,027.11 | $26,388.87 |