- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,806.20 / $17,240.50 / $22,660.00
| Facility | | $11,806.20 | $17,240.50 | $22,660.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,907.22 / $16,087.58 / $27,209.97
| Facility | | $5,907.22 | $16,087.58 | $27,209.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,993.47 / $17,317.16 / $28,985.02
| Facility | | $11,993.47 | $17,317.16 | $28,985.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,850.58 / $19,326.18 / $28,217.80
| Facility | | $14,850.58 | $19,326.18 | $28,217.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,850.58 / $17,966.25 / $28,217.80
| Facility | | $14,850.58 | $17,966.25 | $28,217.80 |