- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,586.10 / $21,483.90 / $34,920.40
| Facility | | $12,586.10 | $21,483.90 | $34,920.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $17,512.32 / $23,631.59
| Facility | | $11,231.00 | $17,512.32 | $23,631.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,752.27 / $17,070.05 / $26,929.65
| Facility | | $10,752.27 | $17,070.05 | $26,929.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,251.05 / $13,948.06 / $27,159.52
| Facility | | $7,251.05 | $13,948.06 | $27,159.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $18,078.16 / $24,523.76
| Facility | | $6,289.00 | $18,078.16 | $24,523.76 |