- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,498.45 / $28,183.83
| Facility | | $13,182.57 | $19,498.45 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $18,197.01 / $30,902.95
| Facility | | $6,760.83 | $18,197.01 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $15,848.93 / $26,915.35
| Facility | | $11,748.98 | $15,848.93 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $17,782.79 / $26,302.68
| Facility | | $14,454.40 | $17,782.79 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $17,378.01 / $25,703.96
| Facility | | $9,120.11 | $17,378.01 | $25,703.96 |