- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,379.36 / $13,784.40 / $21,281.90
| Facility | | $9,379.36 | $13,784.40 | $21,281.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,508.16 / $23,468.81 / $30,088.22
| Facility | | $16,508.16 | $23,468.81 | $30,088.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,556.14 / $20,409.30 / $25,814.08
| Facility | | $10,556.14 | $20,409.30 | $25,814.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,379.36 / $14,099.00 / $22,544.90
| Facility | | $9,379.36 | $14,099.00 | $22,544.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,969.05 / $17,912.18 / $28,169.54
| Facility | | $10,969.05 | $17,912.18 | $28,169.54 |