- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,741.39 / $14,180.30 / $20,077.80
| Facility | | $7,741.39 | $14,180.30 | $20,077.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,711.18 / $14,500.78 / $24,133.55
| Facility | | $8,711.18 | $14,500.78 | $24,133.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,048.70 / $12,755.97 / $22,694.90
| Facility | | $8,048.70 | $12,755.97 | $22,694.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $12,374.27 / $26,836.76
| Facility | | $5,264.00 | $12,374.27 | $26,836.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,388.91 / $23,848.54
| Facility | | $3,308.00 | $11,388.91 | $23,848.54 |