- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,552.22 / $13,833.80 / $19,587.20
| Facility | | $7,552.22 | $13,833.80 | $19,587.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,968.04 / $13,012.76 / $21,055.40
| Facility | | $7,968.04 | $13,012.76 | $21,055.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,852.02 / $12,444.26 / $22,140.32
| Facility | | $7,852.02 | $12,444.26 | $22,140.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,421.18 / $26,180.97
| Facility | | $5,264.00 | $11,421.18 | $26,180.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,485.36 / $23,265.77
| Facility | | $3,308.00 | $11,485.36 | $23,265.77 |