- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $37,153.52
| Facility | | $16,218.10 | $26,302.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,498.45 / $30,199.52
| Facility | | $13,489.63 | $19,498.45 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $19,498.45 / $33,884.42
| Facility | | $9,549.93 | $19,498.45 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $18,620.87 / $32,359.37
| Facility | | $7,585.78 | $18,620.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $15,135.61 / $25,118.86
| Facility | | $9,549.93 | $15,135.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $24,547.09 / $34,673.69
| Facility | | $8,128.31 | $24,547.09 | $34,673.69 |