- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,471.80 / $17,758.09 / $20,096.20
| Facility | | $11,471.80 | $17,758.09 | $20,096.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,518.27 / $17,421.05 / $23,528.45
| Facility | | $11,518.27 | $17,421.05 | $23,528.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,593.38 / $15,834.00 / $22,276.33
| Facility | | $10,593.38 | $15,834.00 | $22,276.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,347.00 / $17,558.00 / $21,283.00
| Facility | | $11,347.00 | $17,558.00 | $21,283.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $20,523.58 / $27,315.23
| Facility | | $5,274.00 | $20,523.58 | $27,315.23 |