- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,796.20 / $17,909.00 / $24,032.50
| Facility | | $10,796.20 | $17,909.00 | $24,032.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,754.14 / $13,337.07 / $28,681.17
| Facility | | $9,754.14 | $13,337.07 | $28,681.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,592.27 / $15,048.77 / $24,078.61
| Facility | | $8,592.27 | $15,048.77 | $24,078.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,865.11 / $14,419.50 / $33,069.68
| Facility | | $8,865.11 | $14,419.50 | $33,069.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,525.27 / $14,151.30 / $20,121.93
| Facility | | $10,525.27 | $14,151.30 | $20,121.93 |