- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,413.45 / $17,243.20 / $24,414.50
| Facility | | $9,413.45 | $17,243.20 | $24,414.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,080.40 / $16,348.75 / $26,294.30
| Facility | | $10,080.40 | $16,348.75 | $26,294.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,787.14 / $15,511.13 / $27,596.77
| Facility | | $9,787.14 | $15,511.13 | $27,596.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,228.18 / $14,439.84 / $32,633.23
| Facility | | $6,228.18 | $14,439.84 | $32,633.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,261.07 / $28,999.59
| Facility | | $3,308.00 | $13,261.07 | $28,999.59 |