- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,496.10 / $16,651.09 / $27,616.40
| Facility | | $10,496.10 | $16,651.09 | $27,616.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,553.37 / $14,311.53 / $24,244.04
| Facility | | $9,553.37 | $14,311.53 | $24,244.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,639.22 / $17,742.11 / $25,404.55
| Facility | | $13,639.22 | $17,742.11 | $25,404.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,913.12 / $17,918.95 / $42,718.96
| Facility | | $8,913.12 | $17,918.95 | $42,718.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,913.12 / $17,432.65 / $24,451.00
| Facility | | $8,913.12 | $17,432.65 | $24,451.00 |