- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,184.10 / $18,654.80 / $26,413.20
| Facility | | $10,184.10 | $18,654.80 | $26,413.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,958.83 / $16,094.14 / $25,456.51
| Facility | | $9,958.83 | $16,094.14 | $25,456.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,588.38 / $16,780.98 / $29,856.02
| Facility | | $10,588.38 | $16,780.98 | $29,856.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,738.06 / $15,367.83 / $35,304.80
| Facility | | $6,738.06 | $15,367.83 | $35,304.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $15,487.91 / $31,373.69
| Facility | | $3,308.00 | $15,487.91 | $31,373.69 |