- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,121.71 / $15,311.30 / $25,420.40
| Facility | | $10,121.71 | $15,311.30 | $25,420.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,200.43 / $11,334.00 / $13,114.70
| Facility | | $9,200.43 | $11,334.00 | $13,114.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,821.02 / $13,290.52 / $22,385.49
| Facility | | $8,821.02 | $13,290.52 | $22,385.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,197.89 / $16,445.00 / $24,257.00
| Facility | | $13,197.89 | $16,445.00 | $24,257.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,204.37 / $15,688.08 / $39,444.12
| Facility | | $8,204.37 | $15,688.08 | $39,444.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,204.37 / $15,653.95 / $22,000.85
| Facility | | $8,204.37 | $15,653.95 | $22,000.85 |