- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,730.90 / $19,707.20 / $22,301.80
| Facility | | $12,730.90 | $19,707.20 | $22,301.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,422.42 / $17,276.07 / $23,761.01
| Facility | | $11,422.42 | $17,276.07 | $23,761.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.10 / $18,140.84 / $27,698.13
| Facility | | $11,748.10 | $18,140.84 | $27,698.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,052.00 / $19,008.00 / $26,741.00
| Facility | | $12,052.00 | $19,008.00 | $26,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $22,776.16 / $30,313.24
| Facility | | $5,274.00 | $22,776.16 | $30,313.24 |