- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,105.40 / $18,510.59 / $26,209.00
| Facility | | $10,105.40 | $18,510.59 | $26,209.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,238.86 / $21,239.87 / $33,363.55
| Facility | | $13,238.86 | $21,239.87 | $33,363.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,506.54 / $16,651.27 / $29,625.26
| Facility | | $10,506.54 | $16,651.27 | $29,625.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,685.98 / $16,181.33 / $35,031.92
| Facility | | $6,685.98 | $16,181.33 | $35,031.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $15,368.20 / $31,131.20
| Facility | | $3,308.00 | $15,368.20 | $31,131.20 |