- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $24,547.09 / $33,113.11
| Facility | | $12,882.50 | $24,547.09 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $18,197.01 / $29,512.09
| Facility | | $12,022.64 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $26,302.68 / $35,481.34
| Facility | | $12,589.25 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $18,197.01 / $38,904.51
| Facility | | $7,079.46 | $18,197.01 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $19,054.61 / $37,153.52
| Facility | | $6,456.54 | $19,054.61 | $37,153.52 |