- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,910.52 / $15,341.30 / $17,361.09
| Facility | | $9,910.52 | $15,341.30 | $17,361.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,214.19 / $15,448.67 / $20,864.59
| Facility | | $10,214.19 | $15,448.67 | $20,864.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,145.44 / $13,537.00 / $19,266.00
| Facility | | $9,145.44 | $13,537.00 | $19,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,382.00 / $15,496.00 / $19,893.00
| Facility | | $9,382.00 | $15,496.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $17,730.37 / $23,597.69
| Facility | | $5,274.00 | $17,730.37 | $23,597.69 |