- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,384.40 / $16,404.90 / $28,702.30
| Facility | | $12,384.40 | $16,404.90 | $28,702.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,851.42 / $13,140.76 / $18,661.86
| Facility | | $10,851.42 | $13,140.76 | $18,661.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $16,521.36 / $27,907.65
| Facility | | $5,939.30 | $16,521.36 | $27,907.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,526.82 / $16,661.66 / $25,626.15
| Facility | | $11,526.82 | $16,661.66 | $25,626.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $16,789.00 / $29,039.86
| Facility | | $3,535.00 | $16,789.00 | $29,039.86 |