- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $17,378.01 / $26,915.35
| Facility | | $13,182.57 | $17,378.01 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,489.63 / $21,877.62
| Facility | | $9,120.11 | $13,489.63 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,197.01 / $25,703.96
| Facility | | $6,918.31 | $18,197.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,488.17 / $28,183.83
| Facility | | $10,715.19 | $15,488.17 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $14,791.08 / $23,988.33
| Facility | | $3,467.37 | $14,791.08 | $23,988.33 |