- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,711.79 / $17,789.70 / $25,188.30
| Facility | | $9,711.79 | $17,789.70 | $25,188.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,631.48 / $17,043.15 / $26,818.69
| Facility | | $10,631.48 | $17,043.15 | $26,818.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,097.34 / $16,002.75 / $28,471.44
| Facility | | $10,097.34 | $16,002.75 | $28,471.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,425.58 / $15,379.97 / $33,667.53
| Facility | | $6,425.58 | $15,379.97 | $33,667.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,769.65 / $29,918.72
| Facility | | $3,308.00 | $14,769.65 | $29,918.72 |