- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,441.60 / $17,711.30 / $20,043.20
| Facility | | $11,441.60 | $17,711.30 | $20,043.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,364.46 / $17,188.41 / $23,640.44
| Facility | | $11,364.46 | $17,188.41 | $23,640.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,565.47 / $16,303.64 / $24,893.01
| Facility | | $10,565.47 | $16,303.64 | $24,893.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,092.00 / $18,395.00 / $26,741.00
| Facility | | $11,092.00 | $18,395.00 | $26,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $20,469.50 / $27,243.27
| Facility | | $5,274.00 | $20,469.50 | $27,243.27 |