- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,335.19 / $11,650.60 / $18,912.59
| Facility | | $8,335.19 | $11,650.60 | $18,912.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,624.24 / $29,320.43 / $37,590.30
| Facility | | $20,624.24 | $29,320.43 | $37,590.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,380.95 / $18,137.21 / $22,940.29
| Facility | | $9,380.95 | $18,137.21 | $22,940.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,335.19 / $12,529.40 / $20,035.09
| Facility | | $8,335.19 | $12,529.40 | $20,035.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,747.91 / $16,669.05 / $25,325.13
| Facility | | $9,747.91 | $16,669.05 | $25,325.13 |