- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $15,135.61 / $26,302.68
| Facility | | $12,022.64 | $15,135.61 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,952.62 / $43,651.58
| Facility | | $11,748.98 | $19,952.62 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $15,135.61 / $25,703.96
| Facility | | $8,912.51 | $15,135.61 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $20,417.38 / $26,302.68
| Facility | | $12,882.50 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,952.62 / $30,902.95
| Facility | | $11,748.98 | $19,952.62 | $30,902.95 |