- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,530.30 / $15,377.30 / $20,211.09
| Facility | | $10,530.30 | $15,377.30 | $20,211.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,517.90 / $15,027.33 / $25,416.71
| Facility | | $5,517.90 | $15,027.33 | $25,416.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,697.31 / $15,445.65 / $25,852.53
| Facility | | $10,697.31 | $15,445.65 | $25,852.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,245.64 / $17,237.55 / $25,168.23
| Facility | | $13,245.64 | $17,237.55 | $25,168.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,245.64 / $16,024.60 / $25,168.23
| Facility | | $13,245.64 | $16,024.60 | $25,168.23 |