- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,042.20 / $19,045.50 / $25,032.30
| Facility | | $13,042.20 | $19,045.50 | $25,032.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,199.92 / $19,608.09 / $33,164.44
| Facility | | $7,199.92 | $19,608.09 | $33,164.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,727.49 / $19,218.25 / $34,279.93
| Facility | | $13,727.49 | $19,218.25 | $34,279.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,405.28 / $21,349.43 / $31,171.91
| Facility | | $16,405.28 | $21,349.43 | $31,171.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,405.28 / $19,847.14 / $31,171.91
| Facility | | $16,405.28 | $19,847.14 | $31,171.91 |