- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,946.60 / $18,539.59 / $29,679.20
| Facility | | $11,946.60 | $18,539.59 | $29,679.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,977.31 / $14,126.66 / $18,302.06
| Facility | | $11,977.31 | $14,126.66 | $18,302.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,520.11 / $14,629.10 / $20,760.36
| Facility | | $7,520.11 | $14,629.10 | $20,760.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,039.46 / $14,789.63 / $25,913.40
| Facility | | $11,039.46 | $14,789.63 | $25,913.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,839.86 / $16,749.40 / $22,444.69
| Facility | | $10,839.86 | $16,749.40 | $22,444.69 |