- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,797.20 / $14,302.40 / $25,023.70
| Facility | | $10,797.20 | $14,302.40 | $25,023.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,831.46 / $10,035.19 / $20,819.97
| Facility | | $7,831.46 | $10,035.19 | $20,819.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $13,337.37 / $27,266.10
| Facility | | $5,939.30 | $13,337.37 | $27,266.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,245.65 / $14,526.25 / $22,341.83
| Facility | | $10,245.65 | $14,526.25 | $22,341.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $15,821.62 / $22,512.44
| Facility | | $3,496.00 | $15,821.62 | $22,512.44 |