- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,617.80 / $18,124.20 / $29,459.40
| Facility | | $10,617.80 | $18,124.20 | $29,459.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,768.73 / $17,936.00 / $21,164.97
| Facility | | $16,768.73 | $17,936.00 | $21,164.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,104.70 / $14,400.58 / $22,718.30
| Facility | | $9,104.70 | $14,400.58 | $22,718.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,969.78 / $11,249.35 / $22,912.22
| Facility | | $5,969.78 | $11,249.35 | $22,912.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,505.00 / $15,251.04 / $20,688.65
| Facility | | $6,505.00 | $15,251.04 | $20,688.65 |