- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,667.90 / $17,210.40 / $26,272.00
| Facility | | $12,667.90 | $17,210.40 | $26,272.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,313.29 / $15,739.25 / $23,044.74
| Facility | | $10,313.29 | $15,739.25 | $23,044.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,051.12 / $15,256.74 / $27,614.00
| Facility | | $11,051.12 | $15,256.74 | $27,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.47 / $161.80 / $257.87
| Facility | | $117.47 | $161.80 | $257.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,172.25 / $16,845.91 / $27,724.46
| Facility | | $12,172.25 | $16,845.91 | $27,724.46 |