- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $23,988.33 / $33,113.11
| Facility | | $12,882.50 | $23,988.33 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $20,892.96 / $33,884.42
| Facility | | $14,125.38 | $20,892.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,952.62 / $35,481.34
| Facility | | $12,589.25 | $19,952.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $18,620.87 / $38,018.94
| Facility | | $6,760.83 | $18,620.87 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $18,197.01 / $37,153.52
| Facility | | $5,888.44 | $18,197.01 | $37,153.52 |