- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,848.93 / $35,481.34
| Facility | | $10,964.78 | $15,848.93 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $14,125.38 / $24,547.09
| Facility | | $7,762.47 | $14,125.38 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $9,772.37 / $17,782.79
| Facility | | $5,495.41 | $9,772.37 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,848.93 / $21,877.62
| Facility | | $10,715.19 | $15,848.93 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $24,547.09 / $37,153.52
| Facility | | $6,918.31 | $24,547.09 | $37,153.52 |