- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,348.70 / $17,567.59 / $19,880.50
| Facility | | $11,348.70 | $17,567.59 | $19,880.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,325.45 / $17,129.41 / $23,134.56
| Facility | | $11,325.45 | $17,129.41 | $23,134.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,479.69 / $15,411.79 / $22,037.26
| Facility | | $10,479.69 | $15,411.79 | $22,037.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,148.00 / $17,069.00 / $21,014.00
| Facility | | $11,148.00 | $17,069.00 | $21,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $20,303.32 / $27,022.09
| Facility | | $5,274.00 | $20,303.32 | $27,022.09 |