- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,353.50 / $16,579.50 / $21,791.20
| Facility | | $11,353.50 | $16,579.50 | $21,791.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,341.23 / $13,374.34 / $17,501.49
| Facility | | $11,341.23 | $13,374.34 | $17,501.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,339.69 / $19,988.75 / $33,808.29
| Facility | | $7,339.69 | $19,988.75 | $33,808.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,533.61 / $16,653.18 / $27,873.67
| Facility | | $11,533.61 | $16,653.18 | $27,873.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,281.17 / $18,585.16 / $27,135.87
| Facility | | $14,281.17 | $18,585.16 | $27,135.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,815.02 / $17,884.21 / $25,778.97
| Facility | | $11,815.02 | $17,884.21 | $25,778.97 |