- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,271.10 / $17,532.30 / $28,497.30
| Facility | | $10,271.10 | $17,532.30 | $28,497.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,167.01 / $16,125.71 / $20,370.08
| Facility | | $11,167.01 | $16,125.71 | $20,370.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,860.36 / $13,930.27 / $21,976.35
| Facility | | $8,860.36 | $13,930.27 | $21,976.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,120.94 / $15,740.61 / $28,774.26
| Facility | | $8,120.94 | $15,740.61 | $28,774.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $14,752.97 / $20,012.99
| Facility | | $6,289.00 | $14,752.97 | $20,012.99 |