- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $19,054.61 / $35,481.34
| Facility | | $12,302.69 | $19,054.61 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $18,197.01 / $26,302.68
| Facility | | $11,220.18 | $18,197.01 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,218.10 / $25,703.96
| Facility | | $10,471.29 | $16,218.10 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $14,125.38 / $26,915.35
| Facility | | $7,244.36 | $14,125.38 | $26,915.35 |
- 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 |