- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,498.10 / $15,230.80 / $26,648.20
| Facility | | $11,498.10 | $15,230.80 | $26,648.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,763.63 / $12,385.21 / $20,170.00
| Facility | | $7,763.63 | $12,385.21 | $20,170.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $12,816.11 / $26,200.46
| Facility | | $5,843.91 | $12,816.11 | $26,200.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,549.31 / $15,469.24 / $23,792.18
| Facility | | $10,549.31 | $15,469.24 | $23,792.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $15,696.11 / $23,973.86
| Facility | | $3,496.00 | $15,696.11 | $23,973.86 |