- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,677.53 / $17,726.90 / $25,099.40
| Facility | | $9,677.53 | $17,726.90 | $25,099.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,506.31 / $16,871.15 / $27,005.15
| Facility | | $10,506.31 | $16,871.15 | $27,005.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,061.70 / $15,946.27 / $28,370.95
| Facility | | $10,061.70 | $15,946.27 | $28,370.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,402.90 / $14,775.51 / $33,548.69
| Facility | | $6,402.90 | $14,775.51 | $33,548.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,717.52 / $29,813.12
| Facility | | $3,308.00 | $14,717.52 | $29,813.12 |