- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,322.04 / $17,075.70 / $24,177.40
| Facility | | $9,322.04 | $17,075.70 | $24,177.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,042.28 / $16,111.41 / $25,307.78
| Facility | | $10,042.28 | $16,111.41 | $25,307.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,692.10 / $15,360.51 / $27,328.79
| Facility | | $9,692.10 | $15,360.51 | $27,328.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,167.70 / $14,492.63 / $32,316.34
| Facility | | $6,167.70 | $14,492.63 | $32,316.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,176.90 / $28,717.99
| Facility | | $3,308.00 | $14,176.90 | $28,717.99 |