- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,605.79 / $17,595.50 / $24,913.30
| Facility | | $9,605.79 | $17,595.50 | $24,913.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,206.90 / $16,210.01 / $25,759.53
| Facility | | $10,206.90 | $16,210.01 | $25,759.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,987.12 / $15,828.07 / $28,160.65
| Facility | | $9,987.12 | $15,828.07 | $28,160.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,355.44 / $15,425.75 / $33,300.01
| Facility | | $6,355.44 | $15,425.75 | $33,300.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,608.43 / $29,592.14
| Facility | | $3,308.00 | $14,608.43 | $29,592.14 |