- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,606.90 / $19,429.20 / $27,509.70
| Facility | | $10,606.90 | $19,429.20 | $27,509.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,466.32 / $18,456.93 / $29,008.96
| Facility | | $11,466.32 | $18,456.93 | $29,008.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,027.94 / $17,477.61 / $31,095.45
| Facility | | $11,027.94 | $17,477.61 | $31,095.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,017.78 / $16,508.09 / $36,770.43
| Facility | | $7,017.78 | $16,508.09 | $36,770.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $16,130.87 / $32,676.12
| Facility | | $3,308.00 | $16,130.87 | $32,676.12 |