- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,346.50 / $18,821.90 / $25,257.50
| Facility | | $11,346.50 | $18,821.90 | $25,257.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,291.54 / $11,333.37 / $21,205.58
| Facility | | $10,291.54 | $11,333.37 | $21,205.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,246.35 / $15,877.87 / $25,405.21
| Facility | | $9,246.35 | $15,877.87 | $25,405.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,316.99 / $15,154.50 / $34,755.33
| Facility | | $9,316.99 | $15,154.50 | $34,755.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,061.77 / $14,928.19 / $21,408.26
| Facility | | $11,061.77 | $14,928.19 | $21,408.26 |