- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,341.91 / $16,787.30 / $27,029.70
| Facility | | $7,341.91 | $16,787.30 | $27,029.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $25,057.42
| Facility | | $1,474.01 | $6,242.69 | $25,057.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,151.83 / $17,552.18 / $24,864.78
| Facility | | $12,151.83 | $17,552.18 | $24,864.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,622.04 / $14,721.50 / $30,916.97
| Facility | | $10,622.04 | $14,721.50 | $30,916.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,972.99 / $14,721.50 / $28,820.00
| Facility | | $9,972.99 | $14,721.50 | $28,820.00 |