- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,880.50 / $19,930.40 / $28,219.30
| Facility | | $10,880.50 | $19,930.40 | $28,219.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,609.71 / $18,674.27 / $29,841.31
| Facility | | $11,609.71 | $18,674.27 | $29,841.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,312.40 / $22,899.04 / $31,897.54
| Facility | | $11,312.40 | $22,899.04 | $31,897.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $16,785.50 / $37,718.90
| Facility | | $7,117.00 | $16,785.50 | $37,718.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $16,546.96 / $33,518.98
| Facility | | $3,308.00 | $16,546.96 | $33,518.98 |