- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,826.60 / $17,157.70 / $28,485.90
| Facility | | $10,826.60 | $17,157.70 | $28,485.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,871.23 / $14,787.68 / $25,050.64
| Facility | | $9,871.23 | $14,787.68 | $25,050.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,068.64 / $17,995.00 / $25,651.00
| Facility | | $14,068.64 | $17,995.00 | $25,651.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,842.18 / $17,579.91 / $44,140.23
| Facility | | $8,842.18 | $17,579.91 | $44,140.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,193.75 / $17,359.27 / $24,653.96
| Facility | | $9,193.75 | $17,359.27 | $24,653.96 |