- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $21,379.62 / $29,512.09
| Facility | | $11,481.54 | $21,379.62 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $30,199.52
| Facility | | $12,589.25 | $18,620.87 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $22,908.68 / $31,622.78
| Facility | | $11,220.18 | $22,908.68 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $16,595.87 / $33,884.42
| Facility | | $7,079.46 | $16,595.87 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $16,595.87 / $33,113.11
| Facility | | $6,456.54 | $16,595.87 | $33,113.11 |