- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,110.47 / $16,258.10 / $26,177.60
| Facility | | $7,110.47 | $16,258.10 | $26,177.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,105.69 / $26,026.87
| Facility | | $1,474.01 | $9,105.69 | $26,026.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,768.77 / $16,998.89 / $24,080.97
| Facility | | $11,768.77 | $16,998.89 | $24,080.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,287.20 / $14,257.43 / $29,942.37
| Facility | | $10,287.20 | $14,257.43 | $29,942.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,658.61 / $14,257.43 / $30,328.98
| Facility | | $9,658.61 | $14,257.43 | $30,328.98 |