- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,504.23 / $17,409.40 / $24,649.90
| Facility | | $9,504.23 | $17,409.40 | $24,649.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,272.15 / $16,572.08 / $26,112.96
| Facility | | $10,272.15 | $16,572.08 | $26,112.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,881.52 / $15,660.71 / $27,862.89
| Facility | | $9,881.52 | $15,660.71 | $27,862.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,288.24 / $15,271.57 / $32,947.92
| Facility | | $6,288.24 | $15,271.57 | $32,947.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,453.97 / $29,279.24
| Facility | | $3,308.00 | $14,453.97 | $29,279.24 |