- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,913.74 / $15,808.30 / $25,453.40
| Facility | | $6,913.74 | $15,808.30 | $25,453.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,988.43 / $14,631.80 / $18,246.59
| Facility | | $11,988.43 | $14,631.80 | $18,246.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,866.19 / $22,510.92
| Facility | | $1,474.01 | $8,866.19 | $22,510.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,443.17 / $16,528.58 / $23,414.72
| Facility | | $11,443.17 | $16,528.58 | $23,414.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,002.58 / $13,862.98 / $29,113.96
| Facility | | $10,002.58 | $13,862.98 | $29,113.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,391.39 / $13,862.98 / $29,489.88
| Facility | | $9,391.39 | $13,862.98 | $29,489.88 |