- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,282.00 / $22,671.90 / $36,851.40
| Facility | | $13,282.00 | $22,671.90 | $36,851.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,171.10 / $19,735.07 / $21,265.76
| Facility | | $10,171.10 | $19,735.07 | $21,265.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,389.27 / $18,013.97 / $28,418.78
| Facility | | $11,389.27 | $18,013.97 | $28,418.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,142.95 / $17,303.18 / $32,903.11
| Facility | | $9,142.95 | $17,303.18 | $32,903.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,347.31 / $18,814.59 / $25,879.85
| Facility | | $6,347.31 | $18,814.59 | $25,879.85 |