- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,401.39 / $17,221.09 / $24,383.20
| Facility | | $9,401.39 | $17,221.09 | $24,383.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,385.49 / $16,794.84 / $26,916.30
| Facility | | $10,385.49 | $16,794.84 | $26,916.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,774.60 / $15,491.26 / $27,561.41
| Facility | | $9,774.60 | $15,491.26 | $27,561.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,220.20 / $14,719.60 / $32,591.42
| Facility | | $6,220.20 | $14,719.60 | $32,591.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,297.57 / $28,962.44
| Facility | | $3,308.00 | $14,297.57 | $28,962.44 |