- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $19,054.61 / $24,547.09
| Facility | | $13,182.57 | $19,054.61 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $8,128.31 / $17,782.79
| Facility | | $4,466.84 | $8,128.31 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,332.54 / $17,378.01
| Facility | | $6,760.83 | $9,332.54 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,332.54 / $17,378.01
| Facility | | $6,760.83 | $9,332.54 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $12,022.64 / $19,054.61
| Facility | | $5,011.87 | $12,022.64 | $19,054.61 |