- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,820.40 / $15,779.80 / $25,615.50
| Facility | | $10,820.40 | $15,779.80 | $25,615.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,520.92 / $33,438.50 / $42,869.87
| Facility | | $23,520.92 | $33,438.50 | $42,869.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,705.69 / $24,565.27 / $31,070.62
| Facility | | $12,705.69 | $24,565.27 | $31,070.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,289.30 / $16,970.00 / $27,135.80
| Facility | | $11,289.30 | $16,970.00 | $27,135.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,202.69 / $22,576.76 / $34,300.67
| Facility | | $13,202.69 | $22,576.76 | $34,300.67 |