- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,103.30 / $15,530.60 / $25,784.50
| Facility | | $12,103.30 | $15,530.60 | $25,784.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,613.20 / $14,401.14 / $24,395.83
| Facility | | $9,613.20 | $14,401.14 | $24,395.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,386.90 / $16,565.18 / $23,818.72
| Facility | | $13,386.90 | $16,565.18 | $23,818.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,321.87 / $16,630.43 / $42,986.42
| Facility | | $8,321.87 | $16,630.43 | $42,986.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,321.87 / $15,878.14 / $22,315.94
| Facility | | $8,321.87 | $15,878.14 | $22,315.94 |