- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,417.38 / $31,622.78
| Facility | | $14,454.40 | $20,417.38 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $26,915.35
| Facility | | $12,022.64 | $17,378.01 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $17,378.01 / $30,902.95
| Facility | | $9,549.93 | $17,378.01 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $16,595.87 / $28,840.32
| Facility | | $7,585.78 | $16,595.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $13,489.63 / $22,908.68
| Facility | | $8,511.38 | $13,489.63 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $21,877.62 / $30,902.95
| Facility | | $8,709.64 | $21,877.62 | $30,902.95 |