- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,279.17 / $21,216.80 / $34,161.80
| Facility | | $9,279.17 | $21,216.80 | $34,161.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,429.84 / $30,104.49
| Facility | | $1,474.01 | $11,429.84 | $30,104.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,358.25 / $22,183.56 / $31,425.68
| Facility | | $15,358.25 | $22,183.56 | $31,425.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,424.80 / $18,605.96 / $39,074.82
| Facility | | $13,424.80 | $18,605.96 | $39,074.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,604.49 / $18,605.96 / $39,579.35
| Facility | | $12,604.49 | $18,605.96 | $39,579.35 |