- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,518.40 / $16,582.30 / $29,012.80
| Facility | | $12,518.40 | $16,582.30 | $29,012.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,505.70 / $10,728.93 / $17,110.00
| Facility | | $7,505.70 | $10,728.93 | $17,110.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $13,127.38 / $25,874.25
| Facility | | $5,843.91 | $13,127.38 | $25,874.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,770.41 / $16,841.89 / $25,903.35
| Facility | | $10,770.41 | $16,841.89 | $25,903.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $18,886.93 / $24,746.80
| Facility | | $3,496.00 | $18,886.93 | $24,746.80 |