- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,197.01 / $25,703.96
| Facility | | $12,302.69 | $18,197.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $22,908.68 / $38,904.51
| Facility | | $8,511.38 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $14,791.08 / $25,118.86
| Facility | | $10,964.78 | $14,791.08 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $16,595.87 / $24,547.09
| Facility | | $13,489.63 | $16,595.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $16,218.10 / $23,442.29
| Facility | | $8,511.38 | $16,218.10 | $23,442.29 |