- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,818.60 / $17,946.30 / $24,082.50
| Facility | | $10,818.60 | $17,946.30 | $24,082.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,761.34 / $11,740.19 / $20,415.43
| Facility | | $9,761.34 | $11,740.19 | $20,415.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,855.85 / $15,025.35 / $24,041.14
| Facility | | $8,855.85 | $15,025.35 | $24,041.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,883.54 / $14,449.50 / $33,138.48
| Facility | | $8,883.54 | $14,449.50 | $33,138.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,536.22 / $14,180.74 / $20,412.33
| Facility | | $10,536.22 | $14,180.74 | $20,412.33 |