- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,417.38 / $26,302.68
| Facility | | $14,454.40 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,782.79 / $24,547.09
| Facility | | $12,302.69 | $17,782.79 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $21,379.62 / $30,199.52
| Facility | | $11,220.18 | $21,379.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $17,378.01 / $19,952.62
| Facility | | $12,589.25 | $17,378.01 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $21,379.62 / $30,199.52
| Facility | | $10,715.19 | $21,379.62 | $30,199.52 |