- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,728.50 / $15,954.00 / $24,291.60
| Facility | | $12,728.50 | $15,954.00 | $24,291.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,070.61 / $15,781.28 / $23,058.87
| Facility | | $10,070.61 | $15,781.28 | $23,058.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,103.95 / $15,329.67 / $27,746.00
| Facility | | $11,103.95 | $15,329.67 | $27,746.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.03 / $162.58 / $259.11
| Facility | | $118.03 | $162.58 | $259.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,960.66 / $16,887.59 / $26,833.16
| Facility | | $11,960.66 | $16,887.59 | $26,833.16 |