- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,466.40 / $21,279.70 / $34,588.40
| Facility | | $12,466.40 | $21,279.70 | $34,588.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,022.72 / $19,387.23 / $24,340.26
| Facility | | $13,022.72 | $19,387.23 | $24,340.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,689.87 / $16,907.75 / $26,673.63
| Facility | | $10,689.87 | $16,907.75 | $26,673.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,247.78 / $19,677.70 / $36,956.73
| Facility | | $10,247.78 | $19,677.70 | $36,956.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $17,906.30 / $24,290.61
| Facility | | $6,289.00 | $17,906.30 | $24,290.61 |