- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,613.79 / $14,020.10 / $22,759.10
| Facility | | $9,613.79 | $14,020.10 | $22,759.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,687.56 / $29,410.46 / $37,705.72
| Facility | | $20,687.56 | $29,410.46 | $37,705.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,288.86 / $21,825.95 / $27,605.88
| Facility | | $11,288.86 | $21,825.95 | $27,605.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,030.40 / $15,077.60 / $24,109.80
| Facility | | $10,030.40 | $15,077.60 | $24,109.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,201.35 / $20,059.18 / $30,475.75
| Facility | | $13,201.35 | $20,059.18 | $30,475.75 |