- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,422.79 / $12,283.30 / $19,939.59
| Facility | | $8,422.79 | $12,283.30 | $19,939.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,926.84 / $34,015.58 / $43,609.72
| Facility | | $23,926.84 | $34,015.58 | $43,609.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,890.35 / $19,122.06 / $24,185.94
| Facility | | $9,890.35 | $19,122.06 | $24,185.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.79 / $13,209.80 / $21,123.00
| Facility | | $8,787.79 | $13,209.80 | $21,123.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,277.21 / $17,574.16 / $26,700.28
| Facility | | $10,277.21 | $17,574.16 | $26,700.28 |