- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,383.99 / $16,883.50 / $27,184.60
| Facility | | $7,383.99 | $16,883.50 | $27,184.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,336.41 / $25,229.33
| Facility | | $1,474.01 | $13,336.41 | $25,229.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,221.48 / $17,652.79 / $26,717.00
| Facility | | $12,221.48 | $17,652.79 | $26,717.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,030.15 / $14,445.10 / $30,578.98
| Facility | | $10,030.15 | $14,445.10 | $30,578.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,030.15 / $14,805.88 / $31,495.66
| Facility | | $10,030.15 | $14,805.88 | $31,495.66 |