- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,620.87 / $33,884.42
| Facility | | $11,748.98 | $18,620.87 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,982.44 / $21,379.62
| Facility | | $10,715.19 | $16,982.44 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,848.93 / $25,703.96
| Facility | | $10,471.29 | $15,848.93 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $13,803.84 / $26,302.68
| Facility | | $7,079.46 | $13,803.84 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,982.44 / $23,988.33
| Facility | | $6,309.57 | $16,982.44 | $23,988.33 |