- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,527.50 / $21,383.90 / $34,757.80
| Facility | | $12,527.50 | $21,383.90 | $34,757.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,939.80 / $20,072.88 / $25,658.33
| Facility | | $14,939.80 | $20,072.88 | $25,658.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,702.21 / $16,990.56 / $26,804.25
| Facility | | $10,702.21 | $16,990.56 | $26,804.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,983.66 / $16,735.09 / $31,396.54
| Facility | | $8,983.66 | $16,735.09 | $31,396.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,505.00 / $17,993.99 / $24,409.57
| Facility | | $6,505.00 | $17,993.99 | $24,409.57 |