- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,991.96 / $20,560.20 / $33,104.50
| Facility | | $8,991.96 | $20,560.20 | $33,104.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $30,292.63
| Facility | | $1,474.01 | $6,242.69 | $30,292.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,882.91 / $21,496.96 / $30,453.03
| Facility | | $14,882.91 | $21,496.96 | $30,453.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,009.30 / $18,030.09 / $37,865.43
| Facility | | $13,009.30 | $18,030.09 | $37,865.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,214.38 / $18,030.09 / $38,354.33
| Facility | | $12,214.38 | $18,030.09 | $38,354.33 |