- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,650.23 / $17,676.90 / $25,028.60
| Facility | | $9,650.23 | $17,676.90 | $25,028.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,853.30 / $19,180.27 / $31,570.04
| Facility | | $11,853.30 | $19,180.27 | $31,570.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,033.32 / $15,901.29 / $28,290.92
| Facility | | $10,033.32 | $15,901.29 | $28,290.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,384.84 / $15,002.85 / $33,454.07
| Facility | | $6,384.84 | $15,002.85 | $33,454.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,676.01 / $29,729.03
| Facility | | $3,308.00 | $14,676.01 | $29,729.03 |