- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,255.60 / $20,617.59 / $29,192.30
| Facility | | $11,255.60 | $20,617.59 | $29,192.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,165.64 / $19,535.73 / $31,270.27
| Facility | | $12,165.64 | $19,535.73 | $31,270.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,702.46 / $18,546.63 / $32,997.39
| Facility | | $11,702.46 | $18,546.63 | $32,997.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $17,133.34 / $39,019.48
| Facility | | $7,117.00 | $17,133.34 | $39,019.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $16,558.98 / $34,674.74
| Facility | | $3,308.00 | $16,558.98 | $34,674.74 |