- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $21,379.62 / $33,113.11
| Facility | | $15,135.61 | $21,379.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $27,542.29
| Facility | | $12,589.25 | $18,620.87 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $18,197.01 / $31,622.78
| Facility | | $9,549.93 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $18,197.01 / $30,199.52
| Facility | | $7,585.78 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $14,125.38 / $23,442.29
| Facility | | $8,912.51 | $14,125.38 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $22,908.68 / $32,359.37
| Facility | | $8,709.64 | $22,908.68 | $32,359.37 |