- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,498.45 / $37,153.52
| Facility | | $12,589.25 | $19,498.45 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $20,417.38 / $25,118.86
| Facility | | $12,022.64 | $20,417.38 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,595.87 / $26,302.68
| Facility | | $10,964.78 | $16,595.87 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,488.17 / $29,512.09
| Facility | | $7,943.28 | $15,488.17 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $17,378.01 / $24,547.09
| Facility | | $6,309.57 | $17,378.01 | $24,547.09 |