- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,551.90 / $21,425.60 / $34,825.60
| Facility | | $12,551.90 | $21,425.60 | $34,825.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,972.55 / $19,485.74 / $26,361.09
| Facility | | $10,972.55 | $19,485.74 | $26,361.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,763.16 / $17,023.68 / $26,856.50
| Facility | | $10,763.16 | $17,023.68 | $26,856.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,026.11 / $16,133.43 / $29,383.32
| Facility | | $9,026.11 | $16,133.43 | $29,383.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $18,029.06 / $24,457.15
| Facility | | $6,289.00 | $18,029.06 | $24,457.15 |