- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,161.40 / $13,360.40 / $21,688.10
| Facility | | $9,161.40 | $13,360.40 | $21,688.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,318.37 / $18,915.84 / $37,020.51
| Facility | | $17,318.37 | $18,915.84 | $37,020.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,409.11 / $23,328.01 / $29,907.70
| Facility | | $16,409.11 | $23,328.01 | $29,907.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,757.64 / $20,798.88 / $26,306.82
| Facility | | $10,757.64 | $20,798.88 | $26,306.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,558.39 / $14,368.10 / $22,975.30
| Facility | | $9,558.39 | $14,368.10 | $22,975.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,178.43 / $19,115.25 / $29,041.64
| Facility | | $11,178.43 | $19,115.25 | $29,041.64 |