- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,620.87 / $26,302.68
| Facility | | $12,302.69 | $18,620.87 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $24,547.09 / $40,738.03
| Facility | | $9,120.11 | $24,547.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,135.61 / $25,118.86
| Facility | | $10,964.78 | $15,135.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $16,982.44 / $24,547.09
| Facility | | $13,489.63 | $16,982.44 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $16,218.10 / $23,988.33
| Facility | | $8,511.38 | $16,218.10 | $23,988.33 |