- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,458.60 / $16,503.09 / $28,874.20
| Facility | | $12,458.60 | $16,503.09 | $28,874.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,735.22 / $10,735.22 / $20,240.65
| Facility | | $10,735.22 | $10,735.22 | $20,240.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $13,401.82 / $26,004.74
| Facility | | $5,843.91 | $13,401.82 | $26,004.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,815.74 / $16,761.43 / $25,779.60
| Facility | | $10,815.74 | $16,761.43 | $25,779.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $17,007.24 / $24,871.60
| Facility | | $3,496.00 | $17,007.24 | $24,871.60 |