- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,000.40 / $20,150.20 / $28,530.50
| Facility | | $11,000.40 | $20,150.20 | $28,530.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,349.78 / $19,831.41 / $31,743.57
| Facility | | $12,349.78 | $19,831.41 | $31,743.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,437.14 / $18,126.13 / $32,249.27
| Facility | | $11,437.14 | $18,126.13 | $32,249.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $17,214.68 / $38,134.82
| Facility | | $7,117.00 | $17,214.68 | $38,134.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $16,729.41 / $33,888.58
| Facility | | $3,308.00 | $16,729.41 | $33,888.58 |