- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $22,387.21 / $30,199.52
| Facility | | $12,022.64 | $22,387.21 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,620.87 / $30,199.52
| Facility | | $12,302.69 | $18,620.87 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $23,988.33 / $32,359.37
| Facility | | $11,481.54 | $23,988.33 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $17,378.01 / $35,481.34
| Facility | | $7,079.46 | $17,378.01 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $17,378.01 / $33,884.42
| Facility | | $6,456.54 | $17,378.01 | $33,884.42 |