- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $28,183.83
| Facility | | $15,848.93 | $21,877.62 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,498.45 / $26,915.35
| Facility | | $13,182.57 | $19,498.45 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $22,908.68 / $32,359.37
| Facility | | $12,022.64 | $22,908.68 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,908.68 / $29,512.09
| Facility | | $13,489.63 | $22,908.68 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $22,908.68 / $32,359.37
| Facility | | $11,481.54 | $22,908.68 | $32,359.37 |