- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,031.10 / $21,616.40 / $29,007.50
| Facility | | $13,031.10 | $21,616.40 | $29,007.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,381.59 / $10,381.59 / $16,768.40
| Facility | | $10,381.59 | $10,381.59 | $16,768.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,091.79 / $18,172.41 / $28,098.90
| Facility | | $10,091.79 | $18,172.41 | $28,098.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,700.29 / $17,404.50 / $39,915.48
| Facility | | $10,700.29 | $17,404.50 | $39,915.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,704.12 / $17,144.59 / $24,287.40
| Facility | | $12,704.12 | $17,144.59 | $24,287.40 |