- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,344.89 / $17,117.59 / $24,236.70
| Facility | | $9,344.89 | $17,117.59 | $24,236.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,105.04 / $16,145.57 / $25,423.68
| Facility | | $10,105.04 | $16,145.57 | $25,423.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,715.86 / $15,398.17 / $27,395.78
| Facility | | $9,715.86 | $15,398.17 | $27,395.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,182.82 / $14,559.86 / $32,395.56
| Facility | | $6,182.82 | $14,559.86 | $32,395.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,211.65 / $28,788.39
| Facility | | $3,308.00 | $14,211.65 | $28,788.39 |