- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,281.94 / $16,650.20 / $26,808.90
| Facility | | $7,281.94 | $16,650.20 | $26,808.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,221.63 / $24,779.65
| Facility | | $1,474.01 | $14,221.63 | $24,779.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,052.59 / $18,110.72 / $24,661.70
| Facility | | $12,052.59 | $18,110.72 | $24,661.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,535.28 / $14,601.27 / $30,664.46
| Facility | | $10,535.28 | $14,601.27 | $30,664.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,891.54 / $14,601.27 / $31,060.40
| Facility | | $9,891.54 | $14,601.27 | $31,060.40 |