- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $22,908.68 / $30,902.95
| Facility | | $12,302.69 | $22,908.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $17,378.01 / $27,542.29
| Facility | | $11,748.98 | $17,378.01 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $24,547.09 / $33,113.11
| Facility | | $11,748.98 | $24,547.09 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $17,782.79 / $36,307.81
| Facility | | $7,079.46 | $17,782.79 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $17,782.79 / $35,481.34
| Facility | | $6,456.54 | $17,782.79 | $35,481.34 |