- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,258.80 / $24,339.30 / $39,561.60
| Facility | | $14,258.80 | $24,339.30 | $39,561.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,256.10 / $19,907.32 / $25,853.48
| Facility | | $12,256.10 | $19,907.32 | $25,853.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,226.87 / $19,338.77 / $30,508.78
| Facility | | $12,226.87 | $19,338.77 | $30,508.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,428.16 / $14,965.39 / $30,769.19
| Facility | | $7,428.16 | $14,965.39 | $30,769.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,254.17 / $22,007.19 / $29,296.60
| Facility | | $14,254.17 | $22,007.19 | $29,296.60 |