- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,096.90 / $20,283.09 / $22,942.90
| Facility | | $13,096.90 | $20,283.09 | $22,942.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,072.93 / $21,284.91 / $28,746.87
| Facility | | $14,072.93 | $21,284.91 | $28,746.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,094.02 / $16,658.97 / $25,806.42
| Facility | | $12,094.02 | $16,658.97 | $25,806.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,153.00 / $19,307.00 / $24,501.61
| Facility | | $13,153.00 | $19,307.00 | $24,501.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $23,430.91 / $31,184.66
| Facility | | $5,274.00 | $23,430.91 | $31,184.66 |