- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $16,595.87 / $26,915.35
| Facility | | $12,302.69 | $16,595.87 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $12,022.64 / $16,982.44
| Facility | | $10,232.93 | $12,022.64 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $14,454.40 / $24,547.09
| Facility | | $6,165.95 | $14,454.40 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,595.87 / $23,442.29
| Facility | | $12,589.25 | $16,595.87 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,848.93 / $25,118.86
| Facility | | $7,943.28 | $15,848.93 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,454.40 / $21,877.62
| Facility | | $9,332.54 | $14,454.40 | $21,877.62 |