- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,030.37 / $20,648.00 / $33,245.80
| Facility | | $9,030.37 | $20,648.00 | $33,245.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,064.64 / $28,800.80
| Facility | | $1,474.01 | $10,064.64 | $28,800.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,946.46 / $21,588.76 / $30,583.08
| Facility | | $14,946.46 | $21,588.76 | $30,583.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,064.85 / $18,107.09 / $38,027.12
| Facility | | $13,064.85 | $18,107.09 | $38,027.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,266.54 / $18,107.09 / $38,518.12
| Facility | | $12,266.54 | $18,107.09 | $38,518.12 |