- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,934.10 / $23,114.20 / $31,017.50
| Facility | | $13,934.10 | $23,114.20 | $31,017.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,944.38 / $17,187.34 / $19,718.21
| Facility | | $11,944.38 | $17,187.34 | $19,718.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,686.41 / $18,716.50 / $29,947.12
| Facility | | $10,686.41 | $18,716.50 | $29,947.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,441.74 / $18,610.50 / $42,681.32
| Facility | | $11,441.74 | $18,610.50 | $42,681.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,503.78 / $18,264.34 / $25,970.33
| Facility | | $13,503.78 | $18,264.34 | $25,970.33 |