- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,829.40 / $19,859.59 / $22,474.40
| Facility | | $12,829.40 | $19,859.59 | $22,474.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,733.19 / $19,258.57 / $26,487.68
| Facility | | $12,733.19 | $19,258.57 | $26,487.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,847.01 / $18,281.18 / $27,912.41
| Facility | | $11,847.01 | $18,281.18 | $27,912.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,561.00 / $20,273.00 / $26,741.00
| Facility | | $12,561.00 | $20,273.00 | $26,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $23,124.31 / $30,547.75
| Facility | | $5,274.00 | $23,124.31 | $30,547.75 |